Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,270.89 / $4,933.00 / $4,933.00	Facility		$4,270.89	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,834.53 / $4,270.89 / $4,435.16	Professional		$2,834.53	$4,270.89	$4,435.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,050.79 / $17,568.81 / $23,933.54	Facility		$15,050.79	$17,568.81	$23,933.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,160.08 / $6,659.04 / $11,385.50	Professional		$1,160.08	$6,659.04	$11,385.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,904.47 / $4,082.81 / $6,440.67	Professional		$2,904.47	$4,082.81	$6,440.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,499.72 / $4,933.00 / $4,933.00	Facility		$3,499.72	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,499.72 / $3,791.19 / $5,802.59	Professional		$3,499.72	$3,791.19	$5,802.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $355.48 / $2,397.47 / $4,003.12	Professional		$355.48	$2,397.47	$4,003.12
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 $3,331.78 / $4,073.35 / $5,353.09	Professional		$3,331.78	$4,073.35	$5,353.09