Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,771.73 / $4,933.00 / $4,933.00	Facility		$2,771.73	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,947.15 / $2,771.73 / $2,878.34	Professional		$1,947.15	$2,771.73	$2,878.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,389.62 / $12,127.83 / $16,521.43	Facility		$10,389.62	$12,127.83	$16,521.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.87 / $2,028.96 / $3,408.66	Professional		$551.87	$2,028.96	$3,408.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,552.06 / $2,541.77 / $4,469.66	Professional		$1,552.06	$2,541.77	$4,469.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,247.32 / $4,933.00 / $4,933.00	Facility		$2,247.32	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,247.32 / $2,425.88 / $3,694.19	Professional		$2,247.32	$2,425.88	$3,694.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.08 / $1,595.18 / $2,569.13	Professional		$207.08	$1,595.18	$2,569.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,173.05 / $2,711.92 / $3,640.58	Professional		$2,173.05	$2,711.92	$3,640.58