Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,957.44 / $4,933.00 / $4,933.00	Facility		$2,957.44	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,104.73 / $2,957.44 / $3,066.97	Professional		$2,104.73	$2,957.44	$3,066.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,850.36 / $12,656.59 / $17,806.89	Facility		$10,850.36	$12,656.59	$17,806.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.16 / $3,004.54 / $3,517.84	Professional		$559.16	$3,004.54	$3,517.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,957.48 / $3,000.35 / $3,896.81	Professional		$1,957.48	$3,000.35	$3,896.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,532.46 / $4,933.00 / $4,933.00	Facility		$2,532.46	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,463.37 / $2,532.46 / $3,695.71	Professional		$2,463.37	$2,532.46	$3,695.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,719.70 / $2,699.20	Professional		$164.62	$1,719.70	$2,699.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $3,869.00 / $6,327.00	Facility		$1,820.00	$3,869.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,426.42 / $3,119.09 / $4,287.47	Professional		$2,426.42	$3,119.09	$4,287.47