Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,663.17 / $4,933.00 / $4,933.00	Facility		$3,663.17	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,547.44 / $3,251.62 / $3,663.17	Professional		$2,547.44	$3,251.62	$3,663.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,499.52 / $15,523.57 / $20,808.90	Facility		$10,499.52	$15,523.57	$20,808.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.85 / $2,928.78 / $4,844.85	Professional		$744.85	$2,928.78	$4,844.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,096.50 / $3,399.93 / $6,781.77	Professional		$2,096.50	$3,399.93	$6,781.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,107.88 / $4,933.00 / $4,933.00	Facility		$3,107.88	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,841.25 / $3,161.14 / $4,522.33	Professional		$2,841.25	$3,161.14	$4,522.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $258.61 / $2,418.33 / $3,651.77	Professional		$258.61	$2,418.33	$3,651.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,869.00 / $5,525.00	Facility		$1,713.00	$3,869.00	$5,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,724.86 / $3,786.84 / $4,802.84	Professional		$2,724.86	$3,786.84	$4,802.84