Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,932.25 / $4,933.00 / $4,933.00	Facility		$2,932.25	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.31 / $2,932.25 / $3,040.85	Professional		$1,121.31	$2,932.25	$3,040.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,831.98 / $13,439.46 / $30,992.46	Facility		$9,831.98	$13,439.46	$30,992.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.04 / $2,900.27 / $3,395.77	Professional		$580.04	$2,900.27	$3,395.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,598.55 / $3,020.49 / $4,248.74	Professional		$1,598.55	$3,020.49	$4,248.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,932.25 / $4,933.00 / $4,933.00	Facility		$2,932.25	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,932.25 / $3,192.62 / $4,042.36	Professional		$2,932.25	$3,192.62	$4,042.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
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 $2,017.12 / $2,640.02 / $4,525.68	Professional		$2,017.12	$2,640.02	$4,525.68