Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,259.40 / $4,933.00 / $4,933.00	Facility		$3,259.40	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.76 / $3,259.40 / $3,380.12	Professional		$1,708.76	$3,259.40	$3,380.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,712.52 / $13,651.35 / $18,495.41	Facility		$11,712.52	$13,651.35	$18,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.29 / $825.26 / $3,775.72	Professional		$611.29	$825.26	$3,775.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,174.65 / $2,809.64 / $3,941.99	Professional		$2,174.65	$2,809.64	$3,941.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,719.74 / $4,933.00 / $4,933.00	Facility		$2,719.74	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,661.97 / $2,777.71 / $3,566.39	Professional		$2,661.97	$2,777.71	$3,566.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,920.34 / $2,995.43	Professional		$164.62	$1,920.34	$2,995.43
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 $2,459.23 / $3,139.80 / $4,150.20	Professional		$2,459.23	$3,139.80	$4,150.20