Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,325.00 / $3,325.00 / $5,187.00	Facility		$3,325.00	$3,325.00	$5,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,010.00 / $3,325.00 / $3,325.00	Professional		$3,010.00	$3,325.00	$3,325.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,785.60 / $5,278.70 / $9,271.15	Facility		$3,785.60	$5,278.70	$9,271.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,325.00 / $3,500.00 / $3,745.00	Professional		$3,325.00	$3,500.00	$3,745.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $2,189.69 / $7,875.00	Professional		$2,047.50	$2,189.69	$7,875.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,325.00 / $3,325.00 / $6,109.69	Facility		$3,325.00	$3,325.00	$6,109.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,325.00 / $3,360.00 / $4,200.00	Professional		$3,325.00	$3,360.00	$4,200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,898.00 / $3,187.80 / $5,216.39	Professional		$2,898.00	$3,187.80	$5,216.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,100.00 / $3,500.00	Professional		$1,470.00	$2,100.00	$3,500.00