Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,970.15 / $4,933.00 / $4,933.00	Facility		$3,970.15	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,613.11 / $3,870.02 / $4,122.85	Professional		$2,613.11	$3,870.02	$4,122.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,437.45 / $16,945.32 / $22,958.21	Facility		$14,437.45	$16,945.32	$22,958.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.89 / $3,104.56 / $5,289.25	Professional		$781.89	$3,104.56	$5,289.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,318.25 / $3,476.66 / $6,448.48	Professional		$2,318.25	$3,476.66	$6,448.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,346.15 / $3,970.15 / $4,933.00	Facility		$3,346.15	$3,970.15	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,118.03 / $3,563.47 / $4,841.99	Professional		$3,118.03	$3,563.47	$4,841.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.24 / $2,232.42 / $3,722.54	Professional		$325.24	$2,232.42	$3,722.54
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 $3,168.16 / $3,675.58 / $5,115.71	Professional		$3,168.16	$3,675.58	$5,115.71