Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,877.04 / $4,933.00 / $4,933.00	Facility		$2,877.04	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,945.92 / $2,877.04 / $3,182.62	Professional		$1,945.92	$2,877.04	$3,182.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,331.37 / $12,041.57 / $16,314.42	Facility		$10,331.37	$12,041.57	$16,314.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.94 / $2,069.65 / $3,405.44	Professional		$562.94	$2,069.65	$3,405.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,924.48 / $3,187.08 / $3,609.04	Professional		$1,924.48	$3,187.08	$3,609.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,371.19 / $4,933.00 / $4,933.00	Facility		$2,371.19	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,371.19 / $2,655.74 / $4,004.95	Professional		$2,371.19	$2,655.74	$4,004.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,714.58 / $2,668.79	Professional		$164.62	$1,714.58	$2,668.79
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 $2,541.90 / $2,997.99 / $3,810.40	Professional		$2,541.90	$2,997.99	$3,810.40