Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $5,231.28	Facility		$4,933.00	$4,933.00	$5,231.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,539.33 / $4,945.78 / $5,231.28	Professional		$3,539.33	$4,945.78	$5,231.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,763.46 / $22,022.79 / $29,837.38	Facility		$18,763.46	$22,022.79	$29,837.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,042.69 / $4,607.49 / $9,288.70	Professional		$1,042.69	$4,607.49	$9,288.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,859.07 / $4,736.68 / $8,297.18	Professional		$2,859.07	$4,736.68	$8,297.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,172.22 / $4,933.00 / $5,037.52	Facility		$4,172.22	$4,933.00	$5,037.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,916.36 / $4,475.84 / $6,325.02	Professional		$3,916.36	$4,475.84	$6,325.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $378.33 / $2,642.54 / $4,484.32	Professional		$378.33	$2,642.54	$4,484.32
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 $4,086.01 / $4,895.54 / $6,324.02	Professional		$4,086.01	$4,895.54	$6,324.02