Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,408.66 / $4,933.00 / $4,933.00	Facility		$3,408.66	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,220.76 / $3,408.66 / $3,539.77	Professional		$2,220.76	$3,408.66	$3,539.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,499.75 / $14,590.98 / $19,876.91	Facility		$12,499.75	$14,590.98	$19,876.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $4,111.09 / $6,225.93	Professional		$672.00	$4,111.09	$6,225.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,303.36 / $3,232.56 / $5,035.92	Professional		$2,303.36	$3,232.56	$5,035.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,860.39 / $4,933.00 / $4,933.00	Facility		$2,860.39	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,860.39 / $3,061.18 / $4,093.83	Professional		$2,860.39	$3,061.18	$4,093.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $1,909.87 / $3,232.88	Professional		$285.49	$1,909.87	$3,232.88
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 $2,930.86 / $3,273.74 / $4,522.22	Professional		$2,930.86	$3,273.74	$4,522.22