Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,889.29 / $4,933.00 / $4,933.00	Facility		$2,889.29	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,988.77 / $2,463.12 / $2,889.29	Professional		$1,988.77	$2,463.12	$2,889.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,275.00 / $12,200.31 / $16,756.84	Facility		$10,275.00	$12,200.31	$16,756.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.91 / $3,179.58 / $3,782.03	Professional		$635.91	$3,179.58	$3,782.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,011.19 / $2,731.77 / $5,294.90	Professional		$2,011.19	$2,731.77	$5,294.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,331.07 / $4,933.00 / $4,933.00	Facility		$2,331.07	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,242.42 / $2,455.98 / $3,554.52	Professional		$2,242.42	$2,455.98	$3,554.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.56 / $1,735.07 / $2,719.64	Professional		$193.56	$1,735.07	$2,719.64
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 $2,364.59 / $2,955.74 / $4,000.33	Professional		$2,364.59	$2,955.74	$4,000.33