Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,855.25 / $4,933.00 / $4,933.00	Facility		$2,855.25	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,870.81 / $2,754.50 / $3,321.69	Professional		$1,870.81	$2,754.50	$3,321.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,270.84 / $12,054.95 / $16,332.54	Facility		$10,270.84	$12,054.95	$16,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.74 / $2,387.71 / $3,820.33	Professional		$564.74	$2,387.71	$3,820.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,664.70 / $2,503.69 / $4,657.60	Professional		$1,664.70	$2,503.69	$4,657.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,378.46 / $2,855.25 / $4,933.00	Facility		$2,378.46	$2,855.25	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,208.28 / $2,566.60 / $3,562.28	Professional		$2,208.28	$2,566.60	$3,562.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.84 / $1,619.41 / $2,685.97	Professional		$232.84	$1,619.41	$2,685.97
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 $2,196.94 / $2,579.83 / $3,483.88	Professional		$2,196.94	$2,579.83	$3,483.88