Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,578.10 / $4,933.00 / $4,933.00	Facility		$3,578.10	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,514.91 / $3,578.10 / $3,715.72	Professional		$2,514.91	$3,578.10	$3,715.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,519.86 / $15,781.75 / $21,499.07	Facility		$13,519.86	$15,781.75	$21,499.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.36 / $2,899.34 / $4,638.95	Professional		$737.36	$2,899.34	$4,638.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,004.72 / $3,303.74 / $5,751.96	Professional		$2,004.72	$3,303.74	$5,751.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,930.88 / $4,933.00 / $4,933.00	Facility		$2,930.88	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,930.88 / $3,129.55 / $4,794.56	Professional		$2,930.88	$3,129.55	$4,794.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $305.86 / $2,044.94 / $3,319.99	Professional		$305.86	$2,044.94	$3,319.99
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 $2,769.83 / $3,511.37 / $4,752.20	Professional		$2,769.83	$3,511.37	$4,752.20