Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,130.60 / $4,933.00 / $4,933.00	Facility		$3,130.60	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,105.44 / $3,130.60 / $3,251.01	Professional		$2,105.44	$3,130.60	$3,251.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,453.65 / $13,369.87 / $18,213.43	Facility		$11,453.65	$13,369.87	$18,213.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.65 / $4,041.28 / $5,722.41	Professional		$726.65	$4,041.28	$5,722.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,249.38 / $3,159.65 / $5,018.80	Professional		$2,249.38	$3,159.65	$5,018.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,543.35 / $4,933.00 / $4,933.00	Facility		$2,543.35	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,543.35 / $2,735.77 / $3,818.08	Professional		$2,543.35	$2,735.77	$3,818.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.86 / $1,771.85 / $2,888.41	Professional		$266.86	$1,771.85	$2,888.41
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 $2,762.46 / $3,035.42 / $4,047.23	Professional		$2,762.46	$3,035.42	$4,047.23