Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $5,572.88	Facility		$4,933.00	$4,933.00	$5,572.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,885.70 / $4,926.33 / $5,622.19	Professional		$3,885.70	$4,926.33	$5,622.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,049.66 / $23,729.46 / $32,760.85	Facility		$16,049.66	$23,729.46	$32,760.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,085.72 / $4,151.31 / $6,830.60	Professional		$1,085.72	$4,151.31	$6,830.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,024.93 / $5,213.22 / $10,123.78	Professional		$3,024.93	$5,213.22	$10,123.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,820.60 / $4,933.00 / $5,572.88	Facility		$4,820.60	$4,933.00	$5,572.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,316.35 / $4,820.60 / $6,897.09	Professional		$4,316.35	$4,820.60	$6,897.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $379.82 / $3,311.14 / $5,265.80	Professional		$379.82	$3,311.14	$5,265.80
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 $4,336.04 / $5,822.22 / $7,351.82	Professional		$4,336.04	$5,822.22	$7,351.82