Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,124.81 / $4,933.00 / $4,933.00	Facility		$3,124.81	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,892.37 / $3,124.81 / $6,064.09	Professional		$1,892.37	$3,124.81	$6,064.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,224.27 / $13,082.28 / $17,724.41	Facility		$11,224.27	$13,082.28	$17,724.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.00 / $3,282.24 / $3,842.99	Professional		$691.00	$3,282.24	$3,842.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,088.80 / $3,330.28 / $3,791.56	Professional		$2,088.80	$3,330.28	$3,791.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,632.50 / $4,933.00 / $4,933.00	Facility		$2,632.50	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,601.80 / $2,774.14 / $4,079.39	Professional		$2,601.80	$2,774.14	$4,079.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,874.35 / $2,917.91	Professional		$164.62	$1,874.35	$2,917.91
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 $2,775.57 / $3,258.29 / $4,056.35	Professional		$2,775.57	$3,258.29	$4,056.35