Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,172.63 / $4,933.00 / $4,933.00	Facility		$4,172.63	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,730.65 / $4,172.63 / $4,333.10	Professional		$2,730.65	$4,172.63	$4,333.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,289.96 / $17,847.99 / $24,313.86	Facility		$15,289.96	$17,847.99	$24,313.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.28 / $4,179.85 / $7,438.82	Professional		$905.28	$4,179.85	$7,438.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,821.54 / $3,961.02 / $6,165.51	Professional		$2,821.54	$3,961.02	$6,165.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,504.74 / $4,933.00 / $4,933.00	Facility		$3,504.74	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,504.74 / $3,747.04 / $5,712.19	Professional		$3,504.74	$3,747.04	$5,712.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.53 / $2,351.54 / $3,939.76	Professional		$325.53	$2,351.54	$3,939.76
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 $3,542.35 / $4,189.33 / $5,973.11	Professional		$3,542.35	$4,189.33	$5,973.11