Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,851.60 / $4,933.00 / $4,933.00	Facility		$2,851.60	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,871.71 / $2,851.60 / $2,961.28	Professional		$1,871.71	$2,851.60	$2,961.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,326.17 / $12,053.75 / $16,420.52	Facility		$10,326.17	$12,053.75	$16,420.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.96 / $3,145.99 / $5,464.11	Professional		$562.96	$3,145.99	$5,464.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,931.14 / $2,712.70 / $4,218.55	Professional		$1,931.14	$2,712.70	$4,218.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,401.86 / $4,933.00 / $4,933.00	Facility		$2,401.86	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,401.86 / $2,525.69 / $3,421.78	Professional		$2,401.86	$2,525.69	$3,421.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $1,605.59 / $2,680.35	Professional		$207.47	$1,605.59	$2,680.35
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 $2,386.19 / $2,739.16 / $3,778.72	Professional		$2,386.19	$2,739.16	$3,778.72