Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,023.17 / $4,933.00 / $4,933.00	Facility		$4,023.17	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,628.73 / $3,469.72 / $7,152.80	Professional		$2,628.73	$3,469.72	$7,152.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,955.78 / $16,198.15 / $22,363.13	Facility		$10,955.78	$16,198.15	$22,363.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.58 / $3,053.62 / $5,583.76	Professional		$830.58	$3,053.62	$5,583.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,808.26 / $3,775.93 / $7,368.23	Professional		$2,808.26	$3,775.93	$7,368.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,990.65 / $4,933.00 / $4,933.00	Facility		$2,990.65	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,979.41 / $3,349.52 / $4,933.00	Professional		$2,979.41	$3,349.52	$4,933.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $256.80 / $2,390.98 / $3,786.31	Professional		$256.80	$2,390.98	$3,786.31
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 $3,078.08 / $3,931.16 / $5,538.11	Professional		$3,078.08	$3,931.16	$5,538.11