Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,690.87 / $4,933.00 / $4,933.00	Facility		$3,690.87	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,528.00 / $3,301.01 / $3,690.87	Professional		$2,528.00	$3,301.01	$3,690.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,168.70 / $15,034.46 / $20,756.55	Facility		$10,168.70	$15,034.46	$20,756.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $3,411.77 / $5,117.64	Professional		$754.00	$3,411.77	$5,117.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,517.61 / $3,461.59 / $6,730.45	Professional		$2,517.61	$3,461.59	$6,730.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,983.72 / $4,933.00 / $4,933.00	Facility		$2,983.72	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,868.71 / $3,141.92 / $4,531.10	Professional		$2,868.71	$3,141.92	$4,531.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.54 / $2,176.75 / $3,453.42	Professional		$223.54	$2,176.75	$3,453.42
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 $2,922.89 / $3,689.09 / $4,824.18	Professional		$2,922.89	$3,689.09	$4,824.18