Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,281.81 / $4,933.00 / $4,933.00	Facility		$3,281.81	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,130.48 / $3,281.81 / $3,408.03	Professional		$2,130.48	$3,281.81	$3,408.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,875.01 / $13,861.72 / $18,883.47	Facility		$11,875.01	$13,861.72	$18,883.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.11 / $2,498.06 / $4,377.54	Professional		$647.11	$2,498.06	$4,377.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,218.44 / $3,114.06 / $4,848.72	Professional		$2,218.44	$3,114.06	$4,848.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,748.40 / $4,933.00 / $4,933.00	Facility		$2,748.40	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,748.40 / $2,904.54 / $3,940.16	Professional		$2,748.40	$2,904.54	$3,940.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $1,851.75 / $3,111.97	Professional		$285.49	$1,851.75	$3,111.97
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 $2,627.49 / $3,137.63 / $4,350.81	Professional		$2,627.49	$3,137.63	$4,350.81