Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,114.64 / $4,933.00 / $4,933.00	Facility		$3,114.64	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,251.56 / $3,114.64 / $3,230.00	Professional		$1,251.56	$3,114.64	$3,230.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,999.85 / $12,820.71 / $17,370.02	Facility		$10,999.85	$12,820.71	$17,370.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.86 / $2,924.82 / $3,707.43	Professional		$612.86	$2,924.82	$3,707.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,525.24 / $2,438.42 / $4,128.49	Professional		$1,525.24	$2,438.42	$4,128.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,386.96 / $4,933.00 / $4,933.00	Facility		$2,386.96	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,386.96 / $2,664.49 / $3,324.25	Professional		$2,386.96	$2,664.49	$3,324.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $1,860.76 / $2,873.86	Professional		$173.50	$1,860.76	$2,873.86
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 $1,795.47 / $2,902.06 / $3,883.98	Professional		$1,795.47	$2,902.06	$3,883.98