Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,457.06 / $4,933.00 / $4,933.00	Facility		$3,457.06	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,413.69 / $3,457.06 / $3,585.10	Professional		$2,413.69	$3,457.06	$3,585.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,475.98 / $14,541.19 / $19,701.00	Facility		$12,475.98	$14,541.19	$19,701.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.32 / $2,387.19 / $4,085.04	Professional		$649.32	$2,387.19	$4,085.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,313.88 / $3,005.63 / $4,478.26	Professional		$2,313.88	$3,005.63	$4,478.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,910.65 / $4,933.00 / $4,933.00	Facility		$2,910.65	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,910.65 / $2,943.51 / $4,000.83	Professional		$2,910.65	$2,943.51	$4,000.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $2,042.61 / $3,174.19	Professional		$173.37	$2,042.61	$3,174.19
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 $2,867.45 / $3,625.39 / $4,583.70	Professional		$2,867.45	$3,625.39	$4,583.70