Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,884.02 / $4,933.00 / $4,933.00	Facility		$3,884.02	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,552.94 / $3,600.14 / $4,033.41	Professional		$2,552.94	$3,600.14	$4,033.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,263.36 / $16,740.99 / $22,681.38	Facility		$14,263.36	$16,740.99	$22,681.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.71 / $2,951.98 / $5,173.01	Professional		$764.71	$2,951.98	$5,173.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,268.33 / $3,394.37 / $6,305.93	Professional		$2,268.33	$3,394.37	$6,305.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,271.99 / $3,884.02 / $4,933.00	Facility		$3,271.99	$3,884.02	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,050.85 / $3,486.69 / $4,736.95	Professional		$3,050.85	$3,486.69	$4,736.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.53 / $2,192.93 / $3,649.17	Professional		$325.53	$2,192.93	$3,649.17
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,327.00	Facility		$850.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,103.34 / $3,595.85 / $5,054.63	Professional		$3,103.34	$3,595.85	$5,054.63