Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,913.73 / $4,933.00 / $4,933.00	Facility		$3,913.73	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,370.44 / $3,913.73 / $4,064.26	Professional		$2,370.44	$3,913.73	$4,064.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,497.63 / $16,923.09 / $23,053.91	Facility		$14,497.63	$16,923.09	$23,053.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.08 / $2,913.83 / $4,986.25	Professional		$762.08	$2,913.83	$4,986.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,026.89 / $3,663.08 / $6,046.91	Professional		$2,026.89	$3,663.08	$6,046.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,340.19 / $4,933.00 / $4,933.00	Facility		$3,340.19	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,340.19 / $3,463.94 / $5,231.27	Professional		$3,340.19	$3,463.94	$5,231.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $310.20 / $2,189.91 / $3,585.69	Professional		$310.20	$2,189.91	$3,585.69
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 $3,067.68 / $3,799.29 / $5,174.32	Professional		$3,067.68	$3,799.29	$5,174.32