Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,727.92 / $4,933.00 / $4,933.00	Facility		$3,727.92	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,644.62 / $3,727.92 / $3,727.92	Professional		$2,644.62	$3,727.92	$3,727.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,448.25 / $15,698.16 / $21,385.21	Facility		$13,448.25	$15,698.16	$21,385.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.80 / $2,843.28 / $6,889.47	Professional		$780.80	$2,843.28	$6,889.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,816.20 / $5,816.20 / $9,922.36	Professional		$5,816.20	$5,816.20	$9,922.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,996.98 / $4,933.00 / $4,933.00	Facility		$2,996.98	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,996.98 / $3,334.82 / $4,329.59	Professional		$2,996.98	$3,334.82	$4,329.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.77 / $2,284.79 / $3,593.62	Professional		$225.77	$2,284.79	$3,593.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,008.17 / $3,618.78 / $4,761.95	Professional		$3,008.17	$3,618.78	$4,761.95