Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,713.85 / $4,933.00 / $4,933.00	Facility		$3,713.85	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,470.42 / $3,713.85 / $3,856.69	Professional		$2,470.42	$3,713.85	$3,856.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,288.83 / $15,512.07 / $21,131.71	Facility		$13,288.83	$15,512.07	$21,131.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.05 / $2,798.61 / $4,789.05	Professional		$818.05	$2,798.61	$4,789.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,530.13 / $3,563.23 / $5,604.00	Professional		$2,530.13	$3,563.23	$5,604.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,044.70 / $4,933.00 / $4,933.00	Facility		$3,044.70	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,044.70 / $3,301.03 / $4,387.20	Professional		$3,044.70	$3,301.03	$4,387.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.36 / $2,103.88 / $3,496.47	Professional		$325.36	$2,103.88	$3,496.47
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 $2,872.01 / $3,570.28 / $4,690.14	Professional		$2,872.01	$3,570.28	$4,690.14