Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,792.79 / $4,933.00 / $4,933.00	Facility		$2,792.79	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,695.39 / $2,792.79 / $2,896.23	Professional		$1,695.39	$2,792.79	$2,896.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,608.27 / $12,364.31 / $16,751.66	Facility		$10,608.27	$12,364.31	$16,751.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.60 / $1,928.75 / $4,166.09	Professional		$545.60	$1,928.75	$4,166.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,865.26 / $3,045.60 / $3,384.39	Professional		$1,865.26	$3,045.60	$3,384.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,419.86 / $4,933.00 / $4,933.00	Facility		$2,419.86	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,382.55 / $2,419.86 / $3,227.80	Professional		$2,382.55	$2,419.86	$3,227.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $1,823.51 / $2,729.89	Professional		$164.32	$1,823.51	$2,729.89
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 $2,201.88 / $2,859.96 / $3,745.19	Professional		$2,201.88	$2,859.96	$3,745.19