Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,985.92 / $4,933.00 / $4,933.00	Facility		$2,985.92	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,222.17 / $2,985.92 / $3,234.75	Professional		$2,222.17	$2,985.92	$3,234.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,739.99 / $13,704.11 / $18,668.75	Facility		$11,739.99	$13,704.11	$18,668.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.95 / $3,192.45 / $5,959.26	Professional		$668.95	$3,192.45	$5,959.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.46 / $2,910.32 / $5,216.55	Professional		$1,811.46	$2,910.32	$5,216.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,585.42 / $4,933.00 / $4,933.00	Facility		$2,585.42	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,585.42 / $2,828.88 / $3,836.01	Professional		$2,585.42	$2,828.88	$3,836.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $1,903.19 / $3,012.47	Professional		$172.35	$1,903.19	$3,012.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $4,056.00 / $6,036.00	Facility		$1,820.00	$4,056.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,613.30 / $3,103.09 / $4,141.68	Professional		$2,613.30	$3,103.09	$4,141.68