Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.27 / $4,933.00 / $4,933.00	Facility		$2,818.27	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,836.96 / $2,818.27 / $2,926.66	Professional		$1,836.96	$2,818.27	$2,926.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,383.82 / $12,102.70 / $16,397.24	Facility		$10,383.82	$12,102.70	$16,397.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.97 / $2,046.71 / $4,093.41	Professional		$578.97	$2,046.71	$4,093.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,908.46 / $2,683.25 / $4,168.30	Professional		$1,908.46	$2,683.25	$4,168.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,361.89 / $4,933.00 / $4,933.00	Facility		$2,361.89	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,361.89 / $2,531.77 / $3,382.38	Professional		$2,361.89	$2,531.77	$3,382.38
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 $2,388.29 / $2,723.75 / $3,704.30	Professional		$2,388.29	$2,723.75	$3,704.30