Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,256.39 / $4,933.00 / $4,933.00	Facility		$3,256.39	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,369.67 / $3,256.39 / $3,376.99	Professional		$2,369.67	$3,256.39	$3,376.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,305.58 / $14,342.59 / $19,431.93	Facility		$12,305.58	$14,342.59	$19,431.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.93 / $2,227.53 / $3,964.29	Professional		$673.93	$2,227.53	$3,964.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,157.28 / $3,408.46 / $4,386.14	Professional		$2,157.28	$3,408.46	$4,386.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,884.86 / $4,933.00 / $4,933.00	Facility		$2,884.86	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,776.90 / $2,884.86 / $3,782.91	Professional		$2,776.90	$2,884.86	$3,782.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.73 / $1,892.52 / $2,978.74	Professional		$164.73	$1,892.52	$2,978.74
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 $2,822.17 / $3,446.79 / $4,724.22	Professional		$2,822.17	$3,446.79	$4,724.22