Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,439.29 / $4,933.00 / $4,933.00	Facility		$3,439.29	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,380.36 / $3,439.29 / $3,571.57	Professional		$2,380.36	$3,439.29	$3,571.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,729.16 / $14,858.76 / $20,241.72	Facility		$12,729.16	$14,858.76	$20,241.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.02 / $2,982.46 / $6,194.34	Professional		$780.02	$2,982.46	$6,194.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,689.87 / $3,780.55 / $5,354.53	Professional		$2,689.87	$3,780.55	$5,354.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,167.03 / $4,933.00 / $4,933.00	Facility		$3,167.03	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,167.03 / $3,383.99 / $4,709.16	Professional		$3,167.03	$3,383.99	$4,709.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.90 / $2,527.68 / $3,911.84	Professional		$356.90	$2,527.68	$3,911.84
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 $3,069.10 / $3,520.22 / $5,100.18	Professional		$3,069.10	$3,520.22	$5,100.18