Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,920.48 / $4,933.00 / $4,933.00	Facility		$2,920.48	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,113.71 / $2,731.21 / $3,028.64	Professional		$2,113.71	$2,731.21	$3,028.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,698.38 / $12,469.34 / $16,893.97	Facility		$10,698.38	$12,469.34	$16,893.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.72 / $1,999.09 / $4,318.02	Professional		$607.72	$1,999.09	$4,318.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,936.12 / $3,056.83 / $3,911.26	Professional		$1,936.12	$3,056.83	$3,911.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,517.37 / $4,933.00 / $4,933.00	Facility		$2,517.37	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,491.27 / $2,517.37 / $3,301.02	Professional		$2,491.27	$2,517.37	$3,301.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.73 / $1,719.70 / $2,699.20	Professional		$164.73	$1,719.70	$2,699.20
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 $2,600.21 / $3,140.49 / $4,268.78	Professional		$2,600.21	$3,140.49	$4,268.78