Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,752.62 / $4,933.00 / $4,933.00	Facility		$3,752.62	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,638.21 / $3,752.62 / $3,896.96	Professional		$2,638.21	$3,752.62	$3,896.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,292.66 / $16,683.84 / $22,727.98	Facility		$14,292.66	$16,683.84	$22,727.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.12 / $3,688.27 / $4,808.39	Professional		$743.12	$3,688.27	$4,808.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,102.17 / $3,477.48 / $6,041.67	Professional		$2,102.17	$3,477.48	$6,041.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,066.27 / $4,933.00 / $4,933.00	Facility		$3,066.27	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,066.27 / $3,277.39 / $5,031.29	Professional		$3,066.27	$3,277.39	$5,031.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $305.86 / $2,135.93 / $3,475.16	Professional		$305.86	$2,135.93	$3,475.16
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 $2,964.30 / $3,717.67 / $5,018.41	Professional		$2,964.30	$3,717.67	$5,018.41