Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,483.11 / $4,933.00 / $4,933.00	Facility		$3,483.11	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,384.46 / $3,483.11 / $3,612.12	Professional		$2,384.46	$3,483.11	$3,612.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,480.89 / $14,546.92 / $19,708.75	Facility		$12,480.89	$14,546.92	$19,708.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.85 / $2,534.66 / $4,130.85	Professional		$733.85	$2,534.66	$4,130.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,329.09 / $3,011.75 / $4,420.14	Professional		$2,329.09	$3,011.75	$4,420.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,905.98 / $4,933.00 / $4,933.00	Facility		$2,905.98	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,905.98 / $2,979.02 / $3,880.46	Professional		$2,905.98	$2,979.02	$3,880.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $2,077.04 / $3,239.13	Professional		$173.37	$2,077.04	$3,239.13
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 $2,866.82 / $3,605.50 / $4,715.47	Professional		$2,866.82	$3,605.50	$4,715.47