Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,608.43 / $4,933.00 / $4,933.00	Facility		$4,608.43	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,163.98 / $4,146.14 / $4,608.43	Professional		$3,163.98	$4,146.14	$4,608.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,872.26 / $18,499.68 / $25,064.13	Facility		$15,872.26	$18,499.68	$25,064.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.30 / $857.30 / $5,358.19	Professional		$857.30	$857.30	$5,358.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,086.63 / $12,290.65 / $15,976.63	Professional		$4,086.63	$12,290.65	$15,976.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,665.52 / $4,933.00 / $4,933.00	Facility		$3,665.52	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,597.20 / $3,827.28 / $4,985.00	Professional		$3,597.20	$3,827.28	$4,985.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.84 / $2,754.20 / $4,355.45	Professional		$294.84	$2,754.20	$4,355.45
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 $3,660.04 / $4,664.30 / $5,852.53	Professional		$3,660.04	$4,664.30	$5,852.53