Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,650.79 / $4,933.00 / $4,933.00	Facility		$4,650.79	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,207.10 / $4,108.35 / $4,650.79	Professional		$3,207.10	$4,108.35	$4,650.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,933.03 / $20,600.02 / $27,613.75	Facility		$13,933.03	$20,600.02	$27,613.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.15 / $3,494.15 / $5,922.34	Professional		$905.15	$3,494.15	$5,922.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,663.80 / $4,313.55 / $8,507.70	Professional		$2,663.80	$4,313.55	$8,507.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,007.99 / $4,933.00 / $4,933.00	Facility		$4,007.99	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,600.03 / $4,007.99 / $5,744.88	Professional		$3,600.03	$4,007.99	$5,744.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $296.35 / $2,739.34 / $4,326.38	Professional		$296.35	$2,739.34	$4,326.38
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 $3,424.11 / $4,862.21 / $6,367.19	Professional		$3,424.11	$4,862.21	$6,367.19