Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,063.92 / $4,933.00 / $4,933.00	Facility		$4,063.92	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,805.51 / $4,063.92 / $4,214.43	Professional		$2,805.51	$4,063.92	$4,214.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,731.98 / $17,170.63 / $23,263.48	Facility		$14,731.98	$17,170.63	$23,263.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.74 / $2,942.51 / $4,987.35	Professional		$792.74	$2,942.51	$4,987.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,717.39 / $3,541.87 / $5,199.01	Professional		$2,717.39	$3,541.87	$5,199.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,419.17 / $4,933.00 / $4,933.00	Facility		$3,419.17	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,419.17 / $3,458.39 / $4,496.89	Professional		$3,419.17	$3,458.39	$4,496.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.54 / $2,421.10 / $3,764.96	Professional		$205.54	$2,421.10	$3,764.96
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 $3,374.09 / $4,255.38 / $5,600.97	Professional		$3,374.09	$4,255.38	$5,600.97