Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,066.51 / $4,933.00 / $4,933.00	Facility		$2,066.51	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,540.26 / $2,066.51 / $2,238.71	Professional		$1,540.26	$2,066.51	$2,238.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,530.84 / $9,942.99 / $13,471.18	Facility		$8,530.84	$9,942.99	$13,471.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.08 / $1,955.95 / $4,107.50	Professional		$461.08	$1,955.95	$4,107.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.82 / $2,132.31 / $3,584.67	Professional		$1,254.82	$2,132.31	$3,584.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,847.94 / $4,933.00 / $4,933.00	Facility		$1,847.94	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,847.94 / $1,961.07 / $2,654.85	Professional		$1,847.94	$1,961.07	$2,654.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $1,314.54 / $2,094.47	Professional		$103.96	$1,314.54	$2,094.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,909.76 / $2,197.96 / $3,322.61	Professional		$1,909.76	$2,197.96	$3,322.61