Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,732.51 / $4,933.00 / $4,933.00	Facility		$3,732.51	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,573.40 / $3,416.30 / $4,506.27	Professional		$2,573.40	$3,416.30	$4,506.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,603.45 / $15,677.22 / $21,643.95	Facility		$10,603.45	$15,677.22	$21,643.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.62 / $2,424.11 / $4,609.12	Professional		$732.62	$2,424.11	$4,609.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,559.02 / $3,545.39 / $6,821.76	Professional		$2,559.02	$3,545.39	$6,821.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,016.79 / $4,933.00 / $4,933.00	Facility		$3,016.79	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,893.64 / $3,307.02 / $4,712.68	Professional		$2,893.64	$3,307.02	$4,712.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $235.18 / $2,220.99 / $3,525.04	Professional		$235.18	$2,220.99	$3,525.04
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 $3,047.77 / $3,837.78 / $4,898.10	Professional		$3,047.77	$3,837.78	$4,898.10