Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,941.89 / $4,933.00 / $4,933.00	Facility		$2,941.89	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,070.65 / $2,912.55 / $3,055.04	Professional		$2,070.65	$2,912.55	$3,055.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,462.83 / $12,280.28 / $16,637.83	Facility		$10,462.83	$12,280.28	$16,637.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.73 / $2,263.75 / $3,836.89	Professional		$615.73	$2,263.75	$3,836.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,676.60 / $2,672.19 / $4,892.60	Professional		$1,676.60	$2,672.19	$4,892.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,432.03 / $2,941.89 / $6,906.00	Facility		$2,432.03	$2,941.89	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,278.98 / $2,604.56 / $3,800.51	Professional		$2,278.98	$2,604.56	$3,800.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.32 / $1,559.74 / $2,628.82	Professional		$276.32	$1,559.74	$2,628.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $7,519.00 / $10,351.00	Facility		$3,500.00	$7,519.00	$10,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,303.62 / $2,811.99 / $3,775.85	Professional		$2,303.62	$2,811.99	$3,775.85