Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $6,051.27	Facility		$4,933.00	$4,933.00	$6,051.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,184.13 / $5,430.48 / $6,051.27	Professional		$4,184.13	$5,430.48	$6,051.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,243.79 / $25,925.92 / $35,125.50	Facility		$22,243.79	$25,925.92	$35,125.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,408.39 / $4,408.39 / $7,053.45	Professional		$4,408.39	$4,408.39	$7,053.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,145.89 / $5,778.36 / $11,159.99	Professional		$4,145.89	$5,778.36	$11,159.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,912.07 / $4,933.00 / $6,051.27	Facility		$4,912.07	$4,933.00	$6,051.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,733.32 / $4,951.78 / $6,565.00	Professional		$4,733.32	$4,951.78	$6,565.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $410.49 / $3,613.91 / $5,716.83	Professional		$410.49	$3,613.91	$5,716.83
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,841.72 / $6,032.43 / $7,935.09	Professional		$4,841.72	$6,032.43	$7,935.09