Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,290.68 / $4,933.00 / $4,933.00	Facility		$4,290.68	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,819.49 / $4,290.68 / $4,455.72	Professional		$2,819.49	$4,290.68	$4,455.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,309.48 / $17,870.78 / $24,344.91	Facility		$15,309.48	$17,870.78	$24,344.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.26 / $4,497.21 / $9,251.42	Professional		$935.26	$4,497.21	$9,251.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,906.94 / $4,080.55 / $6,417.95	Professional		$2,906.94	$4,080.55	$6,417.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,585.02 / $4,933.00 / $4,933.00	Facility		$3,585.02	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,585.02 / $3,822.54 / $5,885.43	Professional		$3,585.02	$3,822.54	$5,885.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $355.48 / $2,392.44 / $4,008.89	Professional		$355.48	$2,392.44	$4,008.89
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 $3,570.94 / $4,144.30 / $5,506.99	Professional		$3,570.94	$4,144.30	$5,506.99