Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,219.49 / $4,933.00 / $4,933.00	Facility		$3,219.49	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,105.48 / $2,995.90 / $3,343.31	Professional		$2,105.48	$2,995.90	$3,343.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,831.57 / $11,539.38 / $15,634.02	Facility		$9,831.57	$11,539.38	$15,634.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.69 / $3,084.96 / $4,487.21	Professional		$635.69	$3,084.96	$4,487.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,878.30 / $2,795.89 / $5,242.22	Professional		$1,878.30	$2,795.89	$5,242.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,460.38 / $3,219.49 / $4,933.00	Facility		$2,460.38	$3,219.49	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,460.38 / $2,771.85 / $3,926.49	Professional		$2,460.38	$2,771.85	$3,926.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $285.55 / $1,822.63 / $3,037.63	Professional		$285.55	$1,822.63	$3,037.63
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 $2,344.65 / $2,853.80 / $3,824.13	Professional		$2,344.65	$2,853.80	$3,824.13