Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,830.93 / $4,933.00 / $4,933.00	Facility		$3,830.93	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,635.34 / $3,830.93 / $3,972.82	Professional		$2,635.34	$3,830.93	$3,972.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,686.72 / $15,952.35 / $21,612.89	Facility		$13,686.72	$15,952.35	$21,612.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.68 / $2,646.46 / $4,446.05	Professional		$800.68	$2,646.46	$4,446.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,558.96 / $3,298.53 / $4,888.34	Professional		$2,558.96	$3,298.53	$4,888.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,186.14 / $4,933.00 / $4,933.00	Facility		$3,186.14	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,186.14 / $3,268.82 / $4,367.97	Professional		$3,186.14	$3,268.82	$4,367.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.54 / $2,266.84 / $3,537.50	Professional		$205.54	$2,266.84	$3,537.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,107.84 / $3,915.65 / $5,001.88	Professional		$3,107.84	$3,915.65	$5,001.88