Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,061.50 / $4,933.00 / $4,933.00	Facility		$3,061.50	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,136.48 / $3,061.50 / $3,179.25	Professional		$2,136.48	$3,061.50	$3,179.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,318.60 / $13,212.22 / $17,998.66	Facility		$11,318.60	$13,212.22	$17,998.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.03 / $2,288.80 / $3,873.34	Professional		$669.03	$2,288.80	$3,873.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.59 / $2,772.59 / $4,737.81	Professional		$1,969.59	$2,772.59	$4,737.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,607.21 / $4,933.00 / $4,933.00	Facility		$2,607.21	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,607.21 / $2,714.17 / $4,074.68	Professional		$2,607.21	$2,714.17	$4,074.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.21 / $1,732.76 / $2,836.94	Professional		$236.21	$1,732.76	$2,836.94
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 $2,459.75 / $2,996.45 / $4,413.03	Professional		$2,459.75	$2,996.45	$4,413.03