Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,024.91 / $4,933.00 / $4,933.00	Facility		$3,024.91	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,975.94 / $3,024.91 / $3,141.25	Professional		$1,975.94	$3,024.91	$3,141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,093.22 / $12,929.53 / $17,517.46	Facility		$11,093.22	$12,929.53	$17,517.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.61 / $3,153.08 / $5,395.66	Professional		$656.61	$3,153.08	$5,395.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,046.78 / $2,875.01 / $4,471.03	Professional		$2,046.78	$2,875.01	$4,471.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,537.27 / $4,933.00 / $4,933.00	Facility		$2,537.27	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,537.27 / $2,716.32 / $4,408.10	Professional		$2,537.27	$2,716.32	$4,408.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.53 / $1,912.58 / $2,969.51	Professional		$292.53	$1,912.58	$2,969.51
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 $2,564.27 / $2,966.84 / $4,071.65	Professional		$2,564.27	$2,966.84	$4,071.65