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 / $6,367.34	Facility		$4,933.00	$4,933.00	$6,367.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,206.56 / $5,321.65 / $6,401.59	Professional		$4,206.56	$5,321.65	$6,401.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,175.16 / $26,872.01 / $37,099.44	Facility		$18,175.16	$26,872.01	$37,099.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,297.05 / $6,969.44 / $8,803.50	Professional		$1,297.05	$6,969.44	$8,803.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,306.34 / $6,098.39 / $11,880.00	Professional		$4,306.34	$6,098.39	$11,880.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $5,199.39 / $6,367.34	Facility		$4,933.00	$5,199.39	$6,367.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,866.60 / $5,415.94 / $7,857.22	Professional		$4,866.60	$5,415.94	$7,857.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.84 / $3,789.91 / $5,982.56	Professional		$416.84	$3,789.91	$5,982.56
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 $5,108.64 / $6,595.37 / $9,089.59	Professional		$5,108.64	$6,595.37	$9,089.59