Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,025.48 / $4,933.00 / $4,933.00	Facility		$4,025.48	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,639.43 / $4,025.48 / $4,180.31	Professional		$2,639.43	$4,025.48	$4,180.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,632.68 / $17,080.75 / $23,268.67	Facility		$14,632.68	$17,080.75	$23,268.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.50 / $4,142.47 / $7,078.83	Professional		$828.50	$4,142.47	$7,078.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,715.08 / $3,804.23 / $5,937.31	Professional		$2,715.08	$3,804.23	$5,937.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,332.14 / $4,933.00 / $4,933.00	Facility		$3,332.14	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,332.14 / $3,558.94 / $5,521.37	Professional		$3,332.14	$3,558.94	$5,521.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.53 / $2,258.33 / $3,777.75	Professional		$325.53	$2,258.33	$3,777.75
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 $3,307.45 / $3,891.61 / $5,187.09	Professional		$3,307.45	$3,891.61	$5,187.09