Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $5,034.05	Facility		$4,933.00	$4,933.00	$5,034.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,376.32 / $4,229.32 / $5,034.05	Professional		$3,376.32	$4,229.32	$5,034.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,439.66 / $19,520.09 / $26,810.39	Facility		$16,439.66	$19,520.09	$26,810.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.26 / $3,648.02 / $6,492.30	Professional		$992.26	$3,648.02	$6,492.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,387.20 / $4,768.41 / $9,232.89	Professional		$3,387.20	$4,768.41	$9,232.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,484.69 / $4,933.00 / $5,034.05	Facility		$3,484.69	$4,933.00	$5,034.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,484.69 / $4,168.95 / $6,114.01	Professional		$3,484.69	$4,168.95	$6,114.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.03 / $3,010.92 / $4,765.90	Professional		$356.03	$3,010.92	$4,765.90
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 $3,898.56 / $5,043.99 / $6,903.78	Professional		$3,898.56	$5,043.99	$6,903.78