Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,152.51 / $4,933.00 / $4,933.00	Facility		$3,152.51	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,065.02 / $3,152.51 / $3,273.76	Professional		$2,065.02	$3,152.51	$3,273.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,897.20 / $12,720.31 / $17,328.56	Facility		$10,897.20	$12,720.31	$17,328.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.58 / $3,662.65 / $5,768.68	Professional		$692.58	$3,662.65	$5,768.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,134.55 / $3,000.06 / $4,663.08	Professional		$2,134.55	$3,000.06	$4,663.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,647.72 / $4,933.00 / $4,933.00	Facility		$2,647.72	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,647.72 / $2,792.12 / $3,694.13	Professional		$2,647.72	$2,792.12	$3,694.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $1,775.11 / $2,962.29	Professional		$285.49	$1,775.11	$2,962.29
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 $2,704.74 / $3,019.22 / $4,173.41	Professional		$2,704.74	$3,019.22	$4,173.41