Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,968.76 / $4,933.00 / $4,933.00	Facility		$3,968.76	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,610.80 / $3,864.08 / $4,121.39	Professional		$2,610.80	$3,864.08	$4,121.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,489.48 / $17,006.39 / $23,040.96	Facility		$14,489.48	$17,006.39	$23,040.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.81 / $3,075.48 / $5,115.30	Professional		$781.81	$3,075.48	$5,115.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,317.33 / $3,502.45 / $6,447.38	Professional		$2,317.33	$3,502.45	$6,447.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,344.84 / $3,968.76 / $4,933.00	Facility		$3,344.84	$3,968.76	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,117.70 / $3,563.08 / $4,840.30	Professional		$3,117.70	$3,563.08	$4,840.30
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 $5,356.00 / $11,464.00 / $14,085.00	Facility		$5,356.00	$11,464.00	$14,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,099.47 / $3,656.69 / $5,133.33	Professional		$3,099.47	$3,656.69	$5,133.33