Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,855.22 / $4,933.00 / $4,933.00	Facility		$2,855.22	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,991.95 / $2,855.22 / $2,960.97	Professional		$1,991.95	$2,855.22	$2,960.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,274.02 / $11,974.74 / $16,223.86	Facility		$10,274.02	$11,974.74	$16,223.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.75 / $2,050.56 / $3,374.02	Professional		$557.75	$2,050.56	$3,374.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.21 / $2,650.61 / $3,696.81	Professional		$1,907.21	$2,650.61	$3,696.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,401.48 / $4,933.00 / $4,933.00	Facility		$2,401.48	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,401.48 / $2,435.87 / $3,319.90	Professional		$2,401.48	$2,435.87	$3,319.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,692.11 / $2,640.34	Professional		$164.62	$1,692.11	$2,640.34
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 $2,434.62 / $2,981.04 / $4,208.20	Professional		$2,434.62	$2,981.04	$4,208.20