Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,833.35 / $6,833.35 / $10,660.00	Facility		$6,833.35	$6,833.35	$10,660.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,185.98 / $6,833.35 / $7,193.00	Professional		$6,185.98	$6,833.35	$7,193.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,044.09 / $5,044.09 / $5,044.09	Facility		$5,044.09	$5,044.09	$5,044.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,791.89 / $5,044.09 / $5,610.54	Professional		$4,791.89	$5,044.09	$5,610.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,403.58 / $4,029.26 / $10,007.33	Professional		$3,403.58	$4,029.26	$10,007.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6,833.35 / $6,833.35 / $12,556.30	Facility		$6,833.35	$6,833.35	$12,556.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6,833.35 / $6,905.28 / $8,631.60	Professional		$6,833.35	$6,905.28	$8,631.60
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 $3,021.06 / $4,315.80 / $7,193.00	Professional		$3,021.06	$4,315.80	$7,193.00