Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,486.72 / $4,933.00 / $4,933.00	Facility		$3,486.72	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.35 / $3,245.28 / $3,486.72	Professional		$2,511.35	$3,245.28	$3,486.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,821.16 / $15,223.56 / $20,909.21	Facility		$12,821.16	$15,223.56	$20,909.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.49 / $2,800.52 / $4,530.93	Professional		$692.49	$2,800.52	$4,530.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,323.69 / $3,244.79 / $6,510.87	Professional		$2,323.69	$3,244.79	$6,510.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,835.45 / $4,933.00 / $4,933.00	Facility		$2,835.45	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,700.27 / $3,042.50 / $4,248.18	Professional		$2,700.27	$3,042.50	$4,248.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.50 / $2,090.16 / $3,289.01	Professional		$205.50	$2,090.16	$3,289.01
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,727.58 / $3,644.86 / $4,971.18	Professional		$2,727.58	$3,644.86	$4,971.18