Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,425.11 / $4,933.00 / $4,933.00	Facility		$3,425.11	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,242.69 / $3,335.06 / $3,734.68	Professional		$2,242.69	$3,335.06	$3,734.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,561.58 / $14,743.60 / $19,975.24	Facility		$12,561.58	$14,743.60	$19,975.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.45 / $2,730.21 / $4,805.17	Professional		$667.45	$2,730.21	$4,805.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,998.66 / $3,024.38 / $5,573.84	Professional		$1,998.66	$3,024.38	$5,573.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,876.58 / $3,425.11 / $4,933.00	Facility		$2,876.58	$3,425.11	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,692.70 / $3,077.37 / $4,423.25	Professional		$2,692.70	$3,077.37	$4,423.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $1,938.10 / $3,232.88	Professional		$285.49	$1,938.10	$3,232.88
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 $2,646.69 / $3,141.56 / $4,447.99	Professional		$2,646.69	$3,141.56	$4,447.99