Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,377.34 / $4,933.00 / $4,933.00	Facility		$3,377.34	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,372.85 / $3,325.22 / $3,507.24	Professional		$2,372.85	$3,325.22	$3,507.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,480.23 / $14,648.12 / $19,845.87	Facility		$12,480.23	$14,648.12	$19,845.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.78 / $3,963.43 / $6,612.78	Professional		$673.78	$3,963.43	$6,612.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,919.97 / $3,139.16 / $5,567.05	Professional		$1,919.97	$3,139.16	$5,567.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,752.24 / $3,377.34 / $6,906.00	Facility		$2,752.24	$3,377.34	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,626.94 / $3,002.22 / $4,380.41	Professional		$2,626.94	$3,002.22	$4,380.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.32 / $1,781.90 / $3,003.86	Professional		$276.32	$1,781.90	$3,003.86
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,778.04 / $3,304.21 / $4,376.80	Professional		$2,778.04	$3,304.21	$4,376.80