Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,164.13 / $4,933.00 / $4,933.00	Facility		$3,164.13	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,167.13 / $3,131.10 / $3,285.82	Professional		$2,167.13	$3,131.10	$3,285.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,807.23 / $15,031.93 / $20,365.87	Facility		$12,807.23	$15,031.93	$20,365.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.44 / $2,665.46 / $4,124.92	Professional		$630.44	$2,665.46	$4,124.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,803.37 / $2,835.21 / $5,262.09	Professional		$1,803.37	$2,835.21	$5,262.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,494.58 / $3,164.13 / $6,906.00	Facility		$2,494.58	$3,164.13	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,450.85 / $2,793.92 / $3,921.81	Professional		$2,450.85	$2,793.92	$3,921.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.32 / $1,671.08 / $2,838.61	Professional		$276.32	$1,671.08	$2,838.61
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 $2,505.60 / $2,952.34 / $3,913.78	Professional		$2,505.60	$2,952.34	$3,913.78