Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,907.51 / $4,933.00 / $4,933.00	Facility		$3,907.51	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,726.16 / $3,907.51 / $4,052.23	Professional		$2,726.16	$3,907.51	$4,052.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.80 / $863.80 / $2,699.37	Facility		$863.80	$863.80	$2,699.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.60 / $2,699.37 / $4,804.01	Professional		$763.60	$2,699.37	$4,804.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,616.12 / $3,411.76 / $5,058.72	Professional		$2,616.12	$3,411.76	$5,058.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,298.78 / $4,933.00 / $4,933.00	Facility		$3,298.78	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,248.52 / $3,327.27 / $4,325.68	Professional		$3,248.52	$3,327.27	$4,325.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.54 / $2,304.74 / $3,602.09	Professional		$205.54	$2,304.74	$3,602.09
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 $3,251.31 / $4,078.71 / $5,176.83	Professional		$3,251.31	$4,078.71	$5,176.83