Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,777.29 / $4,933.00 / $4,961.04	Facility		$4,777.29	$4,933.00	$4,961.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,164.37 / $4,777.29 / $4,961.04	Professional		$3,164.37	$4,777.29	$4,961.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,513.97 / $20,444.08 / $27,850.46	Facility		$17,513.97	$20,444.08	$27,850.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $939.10 / $5,247.90 / $9,216.69	Professional		$939.10	$5,247.90	$9,216.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,218.38 / $4,506.77 / $7,036.97	Professional		$3,218.38	$4,506.77	$7,036.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,044.00 / $4,933.00 / $4,933.00	Facility		$4,044.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,044.00 / $4,221.03 / $5,626.75	Professional		$4,044.00	$4,221.03	$5,626.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $387.83 / $2,673.43 / $4,500.48	Professional		$387.83	$2,673.43	$4,500.48
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 $4,199.00 / $4,786.84 / $6,632.19	Professional		$4,199.00	$4,786.84	$6,632.19