Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,808.63 / $4,933.00 / $4,933.00	Facility		$4,808.63	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,393.50 / $4,280.52 / $4,808.63	Professional		$3,393.50	$4,280.52	$4,808.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,753.04 / $20,333.91 / $27,257.03	Facility		$13,753.04	$20,333.91	$27,257.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,051.75 / $4,670.62 / $6,157.20	Professional		$1,051.75	$4,670.62	$6,157.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,568.64 / $4,985.85 / $8,766.20	Professional		$3,568.64	$4,985.85	$8,766.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,962.05 / $4,933.00 / $4,933.00	Facility		$3,962.05	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,727.84 / $3,965.16 / $5,311.00	Professional		$3,727.84	$3,965.16	$5,311.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.20 / $2,858.84 / $4,525.76	Professional		$325.20	$2,858.84	$4,525.76
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 $3,963.00 / $5,142.35 / $7,114.08	Professional		$3,963.00	$5,142.35	$7,114.08