Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,898.15 / $4,933.00 / $4,933.00	Facility		$2,898.15	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,923.49 / $2,700.92 / $3,005.49	Professional		$1,923.49	$2,700.92	$3,005.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,401.84 / $12,123.70 / $16,425.68	Facility		$10,401.84	$12,123.70	$16,425.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.42 / $2,104.92 / $3,567.70	Professional		$609.42	$2,104.92	$3,567.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,837.80 / $2,486.08 / $3,563.40	Professional		$1,837.80	$2,486.08	$3,563.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,367.39 / $4,933.00 / $4,933.00	Facility		$2,367.39	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,367.39 / $2,473.53 / $3,218.90	Professional		$2,367.39	$2,473.53	$3,218.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,722.77 / $2,683.82	Professional		$164.62	$1,722.77	$2,683.82
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 $2,351.06 / $2,959.02 / $3,774.97	Professional		$2,351.06	$2,959.02	$3,774.97