Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,679.35 / $3,679.35 / $5,739.79	Facility		$3,679.35	$3,679.35	$5,739.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,253.32 / $3,679.35 / $3,679.35	Professional		$3,253.32	$3,679.35	$3,679.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,509.52 / $4,793.56 / $7,277.85	Facility		$3,509.52	$4,793.56	$7,277.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,759.51 / $2,904.75 / $3,108.08	Professional		$2,759.51	$2,904.75	$3,108.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,265.71 / $2,720.00 / $8,714.25	Professional		$2,265.71	$2,720.00	$8,714.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,679.35 / $3,679.35 / $6,760.81	Facility		$3,679.35	$3,679.35	$6,760.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,679.35 / $3,718.08 / $4,647.60	Professional		$3,679.35	$3,718.08	$4,647.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $3,873.00	Professional		$1,626.66	$2,323.80	$3,873.00