Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,999.92 / $4,933.00 / $4,933.00	Facility		$2,999.92	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,115.73 / $2,999.92 / $3,115.30	Professional		$2,115.73	$2,999.92	$3,115.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,160.41 / $13,007.85 / $17,623.57	Facility		$11,160.41	$13,007.85	$17,623.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.89 / $3,440.55 / $5,418.87	Professional		$584.89	$3,440.55	$5,418.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,851.74 / $2,733.99 / $4,636.47	Professional		$1,851.74	$2,733.99	$4,636.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,579.83 / $4,933.00 / $4,933.00	Facility		$2,579.83	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,579.83 / $2,656.41 / $4,021.59	Professional		$2,579.83	$2,656.41	$4,021.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.21 / $1,703.36 / $2,787.41	Professional		$236.21	$1,703.36	$2,787.41
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 $2,412.19 / $2,948.81 / $4,050.02	Professional		$2,412.19	$2,948.81	$4,050.02