Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,486.58 / $4,933.00 / $4,933.00	Facility		$3,486.58	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,273.21 / $3,486.58 / $3,620.68	Professional		$2,273.21	$3,486.58	$3,620.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,849.53 / $14,976.58 / $20,290.89	Facility		$12,849.53	$14,976.58	$20,290.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.08 / $1,240.44 / $5,854.82	Professional		$642.08	$1,240.44	$5,854.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.55 / $3,296.67 / $5,142.35	Professional		$2,146.55	$3,296.67	$5,142.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,935.53 / $4,933.00 / $4,933.00	Facility		$2,935.53	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,935.53 / $3,128.88 / $5,460.43	Professional		$2,935.53	$3,128.88	$5,460.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $1,938.73 / $3,250.49	Professional		$285.49	$1,938.73	$3,250.49
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 $2,876.13 / $3,359.96 / $4,567.72	Professional		$2,876.13	$3,359.96	$4,567.72