Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,895.76 / $4,933.00 / $4,933.00	Facility		$2,895.76	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,752.97 / $2,700.83 / $3,003.02	Professional		$1,752.97	$2,700.83	$3,003.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,082.35 / $12,927.19 / $18,187.61	Facility		$11,082.35	$12,927.19	$18,187.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.97 / $2,072.25 / $3,546.10	Professional		$541.97	$2,072.25	$3,546.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,928.70 / $2,774.44 / $3,489.94	Professional		$1,928.70	$2,774.44	$3,489.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,463.67 / $4,933.00 / $4,933.00	Facility		$2,463.67	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,413.05 / $2,465.94 / $3,359.49	Professional		$2,413.05	$2,465.94	$3,359.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,695.73 / $2,648.75	Professional		$164.62	$1,695.73	$2,648.75
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 $2,507.36 / $3,129.98 / $4,286.60	Professional		$2,507.36	$3,129.98	$4,286.60