Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,179.43 / $4,933.00 / $4,933.00	Facility		$3,179.43	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,305.46 / $3,179.43 / $3,297.19	Professional		$2,305.46	$3,179.43	$3,297.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,547.04 / $13,458.48 / $18,234.09	Facility		$11,547.04	$13,458.48	$18,234.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.29 / $3,332.38 / $3,901.70	Professional		$663.29	$3,332.38	$3,901.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,908.63 / $2,794.89 / $4,283.24	Professional		$1,908.63	$2,794.89	$4,283.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,696.83 / $4,933.00 / $4,933.00	Facility		$2,696.83	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,696.83 / $2,834.96 / $3,640.72	Professional		$2,696.83	$2,834.96	$3,640.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,908.25 / $2,933.42	Professional		$164.62	$1,908.25	$2,933.42
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 $2,568.80 / $3,351.69 / $4,375.49	Professional		$2,568.80	$3,351.69	$4,375.49