Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,173.21 / $4,933.00 / $4,933.00	Facility		$4,173.21	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,629.10 / $4,102.60 / $4,333.72	Professional		$2,629.10	$4,102.60	$4,333.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,665.20 / $17,212.64 / $23,320.39	Facility		$14,665.20	$17,212.64	$23,320.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $4,648.04 / $7,926.12	Professional		$831.76	$4,648.04	$7,926.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,370.76 / $3,910.24 / $6,875.03	Professional		$2,370.76	$3,910.24	$6,875.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,029.28 / $4,173.21 / $4,933.00	Facility		$3,029.28	$4,173.21	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,029.28 / $3,483.67 / $5,234.16	Professional		$3,029.28	$3,483.67	$5,234.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $345.36 / $2,192.86 / $3,722.17	Professional		$345.36	$2,192.86	$3,722.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,395.00 / $13,752.00	Facility		$4,699.00	$10,395.00	$13,752.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,159.40 / $3,771.47 / $5,191.07	Professional		$3,159.40	$3,771.47	$5,191.07