Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,648.75 / $4,933.00 / $4,933.00	Facility		$3,648.75	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,413.44 / $3,648.75 / $3,783.89	Professional		$2,413.44	$3,648.75	$3,783.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,018.27 / $15,173.25 / $20,557.34	Facility		$13,018.27	$15,173.25	$20,557.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.61 / $2,653.61 / $4,324.71	Professional		$764.61	$2,653.61	$4,324.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,443.73 / $3,884.10 / $4,474.63	Professional		$2,443.73	$3,884.10	$4,474.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,965.20 / $4,933.00 / $4,933.00	Facility		$2,965.20	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,965.20 / $3,251.20 / $4,467.66	Professional		$2,965.20	$3,251.20	$4,467.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $2,168.16 / $3,379.14	Professional		$173.50	$2,168.16	$3,379.14
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 $3,147.30 / $3,854.24 / $5,387.79	Professional		$3,147.30	$3,854.24	$5,387.79