Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,636.24 / $4,933.00 / $4,933.00	Facility		$4,636.24	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,156.84 / $4,323.62 / $4,807.95	Professional		$3,156.84	$4,323.62	$4,807.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,683.24 / $19,444.90 / $26,344.75	Facility		$16,683.24	$19,444.90	$26,344.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.29 / $3,550.18 / $5,461.81	Professional		$970.29	$3,550.18	$5,461.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,089.07 / $5,089.67 / $5,846.01	Professional		$3,089.07	$5,089.67	$5,846.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,816.79 / $4,933.00 / $4,933.00	Facility		$3,816.79	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,740.30 / $3,949.86 / $5,004.95	Professional		$3,740.30	$3,949.86	$5,004.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $258.61 / $2,750.35 / $4,288.17	Professional		$258.61	$2,750.35	$4,288.17
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 $4,020.67 / $4,872.18 / $6,712.67	Professional		$4,020.67	$4,872.18	$6,712.67