Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,812.56 / $4,933.00 / $4,933.00	Facility		$2,812.56	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,826.52 / $2,812.56 / $2,920.74	Professional		$1,826.52	$2,812.56	$2,920.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,181.37 / $11,884.73 / $16,190.26	Facility		$10,181.37	$11,884.73	$16,190.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.76 / $4,510.35 / $8,118.62	Professional		$766.76	$4,510.35	$8,118.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.25 / $2,671.18 / $4,155.52	Professional		$1,902.25	$2,671.18	$4,155.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,083.04 / $4,933.00 / $4,933.00	Facility		$2,083.04	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,083.04 / $2,413.36 / $3,641.30	Professional		$2,083.04	$2,413.36	$3,641.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $1,586.20 / $2,643.51	Professional		$207.47	$1,586.20	$2,643.51
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 $2,230.25 / $2,666.42 / $3,693.56	Professional		$2,230.25	$2,666.42	$3,693.56