Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $2,800.00 / $3,000.00	Facility		$2,800.00	$2,800.00	$3,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,865.69 / $2,800.00 / $4,161.96	Professional		$1,865.69	$2,800.00	$4,161.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,032.26 / $12,877.98 / $17,543.34	Facility		$11,032.26	$12,877.98	$17,543.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.33 / $755.98 / $3,956.84	Professional		$608.33	$755.98	$3,956.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,156.00 / $2,683.53 / $5,291.30	Professional		$2,156.00	$2,683.53	$5,291.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $3,149.53 / $3,149.53	Facility		$2,800.00	$3,149.53	$3,149.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,731.82 / $3,149.53 / $4,161.96	Professional		$2,731.82	$3,149.53	$4,161.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,256.20 / $2,878.48 / $4,240.18	Professional		$2,256.20	$2,878.48	$4,240.18
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 $2,177.30 / $2,743.96 / $3,901.76	Professional		$2,177.30	$2,743.96	$3,901.76