Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,865.89 / $4,933.00 / $4,933.00	Facility		$2,865.89	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,874.90 / $2,538.80 / $2,976.12	Professional		$1,874.90	$2,538.80	$2,976.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,493.75 / $12,249.37 / $16,687.00	Facility		$10,493.75	$12,249.37	$16,687.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.39 / $2,956.30 / $4,831.22	Professional		$622.39	$2,956.30	$4,831.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,941.61 / $2,728.69 / $4,241.78	Professional		$1,941.61	$2,728.69	$4,241.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,406.14 / $4,933.00 / $4,933.00	Facility		$2,406.14	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,406.14 / $2,457.48 / $4,130.52	Professional		$2,406.14	$2,457.48	$4,130.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $1,611.40 / $2,696.00	Professional		$207.47	$1,611.40	$2,696.00
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 $2,452.56 / $2,753.95 / $3,882.60	Professional		$2,452.56	$2,753.95	$3,882.60