Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,028.03 / $4,933.00 / $4,933.00	Facility		$3,028.03	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,832.94 / $2,822.84 / $3,140.18	Professional		$1,832.94	$2,822.84	$3,140.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,492.98 / $13,395.47 / $18,148.73	Facility		$11,492.98	$13,395.47	$18,148.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.69 / $3,173.44 / $3,715.59	Professional		$634.69	$3,173.44	$3,715.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,020.45 / $3,243.83 / $3,662.04	Professional		$2,020.45	$3,243.83	$3,662.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,550.59 / $4,933.00 / $4,933.00	Facility		$2,550.59	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,550.59 / $2,580.17 / $3,608.27	Professional		$2,550.59	$2,580.17	$3,608.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,814.91 / $2,832.77	Professional		$164.62	$1,814.91	$2,832.77
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 $2,691.56 / $3,120.50 / $4,058.75	Professional		$2,691.56	$3,120.50	$4,058.75