Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,455.39 / $4,933.00 / $4,933.00	Facility		$4,455.39	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,506.00 / $3,724.30 / $4,455.39	Professional		$2,506.00	$3,724.30	$4,455.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,931.69 / $14,684.03 / $20,272.75	Facility		$9,931.69	$14,684.03	$20,272.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.90 / $3,274.42 / $5,793.21	Professional		$924.90	$3,274.42	$5,793.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,802.62 / $4,049.98 / $7,757.00	Professional		$2,802.62	$4,049.98	$7,757.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,905.59 / $4,933.00 / $4,933.00	Facility		$2,905.59	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,905.59 / $3,503.16 / $5,067.49	Professional		$2,905.59	$3,503.16	$5,067.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $286.42 / $2,583.60 / $4,117.30	Professional		$286.42	$2,583.60	$4,117.30
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 $3,150.29 / $4,020.27 / $5,679.09	Professional		$3,150.29	$4,020.27	$5,679.09