Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,750.00 / $4,750.00 / $7,410.00	Facility		$4,750.00	$4,750.00	$7,410.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,275.00 / $4,750.00 / $5,000.00	Professional		$4,275.00	$4,750.00	$5,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,542.72 / $6,334.44 / $11,125.38	Facility		$4,542.72	$6,334.44	$11,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,990.00 / $4,200.00 / $4,494.00	Professional		$3,990.00	$4,200.00	$4,494.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,352.00 / $4,352.00 / $5,440.00	Professional		$4,352.00	$4,352.00	$5,440.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,750.00 / $4,750.00 / $8,728.12	Facility		$4,750.00	$4,750.00	$8,728.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,750.00 / $4,800.00 / $6,000.00	Professional		$4,750.00	$4,800.00	$6,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,140.00 / $6,210.00 / $6,210.00	Professional		$4,140.00	$6,210.00	$6,210.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,000.00 / $5,000.00	Professional		$2,100.00	$3,000.00	$5,000.00