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 $1,397.72 / $3,114.64 / $3,230.00	Professional		$1,397.72	$3,114.64	$3,230.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,226.54 / $11,919.41 / $16,148.90	Facility		$10,226.54	$11,919.41	$16,148.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.29 / $2,924.82 / $3,855.73	Professional		$693.29	$2,924.82	$3,855.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,783.83 / $2,591.73 / $4,128.49	Professional		$1,783.83	$2,591.73	$4,128.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,394.90 / $4,933.00 / $4,933.00	Facility		$2,394.90	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,394.90 / $2,664.49 / $3,324.25	Professional		$2,394.90	$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 $2,048.89 / $2,840.86 / $3,797.86	Professional		$2,048.89	$2,840.86	$3,797.86