Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.42 / $4,933.00 / $12,387.71	Facility		$1,826.42	$4,933.00	$12,387.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.25 / $1,826.42 / $1,978.62	Professional		$1,355.25	$1,826.42	$1,978.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,802.84 / $5,597.88 / $7,584.24	Facility		$4,802.84	$5,597.88	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $2,423.26 / $4,019.35	Professional		$466.01	$2,423.26	$4,019.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.16 / $1,746.95 / $3,228.03	Professional		$1,106.16	$1,746.95	$3,228.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,567.97 / $4,933.00 / $6,906.00	Facility		$1,567.97	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,567.97 / $1,722.25 / $2,346.40	Professional		$1,567.97	$1,722.25	$2,346.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $1,173.19 / $1,848.06	Professional		$103.11	$1,173.19	$1,848.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,580.68 / $1,882.57 / $2,515.30	Professional		$1,580.68	$1,882.57	$2,515.30