Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,478.06 / $4,933.00 / $4,933.00	Facility		$3,478.06	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,440.80 / $3,478.06 / $3,622.98	Professional		$2,440.80	$3,478.06	$3,622.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,722.76 / $15,994.35 / $21,669.81	Facility		$13,722.76	$15,994.35	$21,669.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.78 / $1,188.58 / $4,622.26	Professional		$785.78	$1,188.58	$4,622.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,442.63 / $3,163.32 / $6,005.24	Professional		$2,442.63	$3,163.32	$6,005.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,938.05 / $4,933.00 / $4,933.00	Facility		$2,938.05	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,938.05 / $3,290.61 / $4,462.01	Professional		$2,938.05	$3,290.61	$4,462.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $2,120.01 / $3,476.45	Professional		$349.62	$2,120.01	$3,476.45
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 $2,964.79 / $3,629.60 / $4,834.18	Professional		$2,964.79	$3,629.60	$4,834.18