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 / $6,104.15	Facility		$4,933.00	$4,933.00	$6,104.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,910.12 / $5,878.07 / $6,104.15	Professional		$3,910.12	$5,878.07	$6,104.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,597.60 / $25,210.91 / $34,344.19	Facility		$21,597.60	$25,210.91	$34,344.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,081.11 / $9,062.33 / $16,187.32	Professional		$1,081.11	$9,062.33	$16,187.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,956.89 / $5,537.85 / $8,655.69	Professional		$3,956.89	$5,537.85	$8,655.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $5,878.07	Facility		$4,933.00	$4,933.00	$5,878.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,981.26 / $5,191.89 / $8,079.30	Professional		$4,981.26	$5,191.89	$8,079.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $487.00 / $3,291.89 / $5,555.83	Professional		$487.00	$3,291.89	$5,555.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $4,056.00 / $6,036.00	Facility		$1,713.00	$4,056.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,084.25 / $5,810.57 / $8,252.45	Professional		$5,084.25	$5,810.57	$8,252.45