Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,746.21 / $4,933.00 / $4,933.00	Facility		$3,746.21	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,550.92 / $3,187.98 / $3,746.21	Professional		$2,550.92	$3,187.98	$3,746.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,960.87 / $14,727.17 / $19,741.34	Facility		$9,960.87	$14,727.17	$19,741.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.16 / $2,830.01 / $4,832.77	Professional		$740.16	$2,830.01	$4,832.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,606.71 / $3,510.53 / $6,889.95	Professional		$2,606.71	$3,510.53	$6,889.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,069.17 / $4,933.00 / $4,933.00	Facility		$3,069.17	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,920.30 / $3,175.10 / $4,312.27	Professional		$2,920.30	$3,175.10	$4,312.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $235.18 / $2,248.63 / $3,541.01	Professional		$235.18	$2,248.63	$3,541.01
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 $2,856.13 / $3,711.58 / $4,962.45	Professional		$2,856.13	$3,711.58	$4,962.45