Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,086.86 / $4,933.00 / $4,933.00	Facility		$4,086.86	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,890.08 / $3,653.96 / $4,250.64	Professional		$2,890.08	$3,653.96	$4,250.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,541.34 / $17,063.90 / $22,873.68	Facility		$11,541.34	$17,063.90	$22,873.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.39 / $3,981.56 / $5,248.80	Professional		$866.39	$3,981.56	$5,248.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,038.76 / $4,187.60 / $7,471.27	Professional		$3,038.76	$4,187.60	$7,471.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,325.97 / $4,933.00 / $4,933.00	Facility		$3,325.97	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,173.25 / $3,389.43 / $5,017.08	Professional		$3,173.25	$3,389.43	$5,017.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $2,440.17 / $3,850.54	Professional		$268.08	$2,440.17	$3,850.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,902.90 / $5,525.00	Facility		$1,713.00	$3,902.90	$5,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,330.71 / $4,322.55 / $6,594.67	Professional		$3,330.71	$4,322.55	$6,594.67