Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.91 / $4,933.00 / $4,933.00	Facility		$2,884.91	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,035.68 / $2,565.33 / $2,884.91	Professional		$2,035.68	$2,565.33	$2,884.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,871.48 / $12,908.55 / $17,729.59	Facility		$10,871.48	$12,908.55	$17,729.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.91 / $2,596.13 / $3,696.20	Professional		$564.91	$2,596.13	$3,696.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.91 / $2,803.16 / $5,636.73	Professional		$2,068.91	$2,803.16	$5,636.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,548.75 / $4,933.00 / $4,933.00	Facility		$2,548.75	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,238.98 / $2,548.75 / $3,563.21	Professional		$2,238.98	$2,548.75	$3,563.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.26 / $1,907.21 / $2,881.81	Professional		$226.26	$1,907.21	$2,881.81
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 $2,345.94 / $3,057.50 / $4,173.97	Professional		$2,345.94	$3,057.50	$4,173.97