Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,815.76 / $4,933.00 / $4,933.00	Facility		$3,815.76	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,651.59 / $3,410.56 / $3,815.76	Professional		$2,651.59	$3,410.56	$3,815.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,170.00 / $16,514.88 / $22,800.41	Facility		$11,170.00	$16,514.88	$22,800.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.13 / $4,299.37 / $5,113.97	Professional		$800.13	$4,299.37	$5,113.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,149.09 / $3,628.32 / $6,852.24	Professional		$2,149.09	$3,628.32	$6,852.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,164.61 / $4,933.00 / $4,933.00	Facility		$3,164.61	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,014.04 / $3,333.49 / $4,819.75	Professional		$3,014.04	$3,333.49	$4,819.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $256.80 / $2,344.92 / $3,687.25	Professional		$256.80	$2,344.92	$3,687.25
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 $3,043.83 / $3,988.90 / $5,545.70	Professional		$3,043.83	$3,988.90	$5,545.70