Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,855.30 / $4,933.00 / $4,933.00	Facility		$2,855.30	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,866.00 / $2,855.30 / $2,965.12	Professional		$1,866.00	$2,855.30	$2,965.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,402.64 / $12,143.02 / $16,542.13	Facility		$10,402.64	$12,143.02	$16,542.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.70 / $3,323.52 / $5,545.13	Professional		$664.70	$3,323.52	$5,545.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,936.67 / $2,723.64 / $4,224.93	Professional		$1,936.67	$2,723.64	$4,224.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,401.67 / $4,933.00 / $4,933.00	Facility		$2,401.67	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,401.67 / $2,569.15 / $3,432.08	Professional		$2,401.67	$2,569.15	$3,432.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $1,617.48 / $2,685.57	Professional		$207.47	$1,617.48	$2,685.57
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 $2,438.30 / $2,773.05 / $3,782.14	Professional		$2,438.30	$2,773.05	$3,782.14