Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,666.67 / $4,933.00 / $4,933.00	Facility		$2,666.67	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,872.59 / $2,666.67 / $2,769.24	Professional		$1,872.59	$2,666.67	$2,769.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,136.45 / $11,814.39 / $16,006.63	Facility		$10,136.45	$11,814.39	$16,006.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.96 / $2,442.06 / $3,476.86	Professional		$557.96	$2,442.06	$3,476.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,492.85 / $2,447.32 / $4,308.49	Professional		$1,492.85	$2,447.32	$4,308.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,164.36 / $4,933.00 / $4,933.00	Facility		$2,164.36	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,164.36 / $2,332.59 / $3,561.72	Professional		$2,164.36	$2,332.59	$3,561.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.08 / $1,562.82 / $2,499.89	Professional		$207.08	$1,562.82	$2,499.89
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 $2,156.15 / $2,639.74 / $4,180.24	Professional		$2,156.15	$2,639.74	$4,180.24