Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,211.10 / $4,933.00 / $4,933.00	Facility		$3,211.10	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,199.73 / $2,993.87 / $3,330.03	Professional		$2,199.73	$2,993.87	$3,330.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,223.69 / $14,247.14 / $19,302.59	Facility		$12,223.69	$14,247.14	$19,302.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.52 / $3,719.77 / $5,910.72	Professional		$708.52	$3,719.77	$5,910.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,141.81 / $3,387.89 / $4,075.76	Professional		$2,141.81	$3,387.89	$4,075.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,691.59 / $4,933.00 / $4,933.00	Facility		$2,691.59	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,675.10 / $2,738.17 / $4,036.23	Professional		$2,675.10	$2,738.17	$4,036.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,911.23 / $2,975.68	Professional		$164.62	$1,911.23	$2,975.68
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 $2,765.64 / $3,307.85 / $4,648.52	Professional		$2,765.64	$3,307.85	$4,648.52