Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,642.43 / $4,933.00 / $4,933.00	Facility		$3,642.43	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,558.38 / $3,585.48 / $3,782.52	Professional		$2,558.38	$3,585.48	$3,782.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,511.71 / $15,858.78 / $21,486.12	Facility		$13,511.71	$15,858.78	$21,486.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.12 / $4,448.25 / $6,736.53	Professional		$727.12	$4,448.25	$6,736.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,071.15 / $3,395.40 / $6,004.41	Professional		$2,071.15	$3,395.40	$6,004.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,919.90 / $3,642.43 / $6,906.00	Facility		$2,919.90	$3,642.43	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,835.58 / $3,217.88 / $4,608.38	Professional		$2,835.58	$3,217.88	$4,608.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.17 / $1,904.34 / $3,238.35	Professional		$276.17	$1,904.34	$3,238.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,919.90 / $3,478.78 / $4,499.93	Professional		$2,919.90	$3,478.78	$4,499.93