Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,509.43 / $4,933.00 / $4,933.00	Facility		$3,509.43	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,256.86 / $3,458.62 / $3,644.41	Professional		$2,256.86	$3,458.62	$3,644.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,973.19 / $15,226.71 / $20,629.78	Facility		$12,973.19	$15,226.71	$20,629.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.78 / $3,915.70 / $6,877.00	Professional		$770.78	$3,915.70	$6,877.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,996.69 / $3,182.13 / $5,788.07	Professional		$1,996.69	$3,182.13	$5,788.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,283.55 / $3,509.43 / $4,933.00	Facility		$2,283.55	$3,509.43	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,283.55 / $2,812.98 / $4,304.35	Professional		$2,283.55	$2,812.98	$4,304.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.32 / $1,847.51 / $3,143.38	Professional		$276.32	$1,847.51	$3,143.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $11,464.00 / $14,085.00	Facility		$5,356.00	$11,464.00	$14,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,583.51 / $3,075.14 / $3,910.02	Professional		$2,583.51	$3,075.14	$3,910.02