Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,562.50 / $3,562.50 / $5,557.50	Facility		$3,562.50	$3,562.50	$5,557.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,225.00 / $3,562.50 / $3,562.50	Professional		$3,225.00	$3,562.50	$3,562.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.69 / $2,629.69 / $2,629.69	Facility		$2,629.69	$2,629.69	$2,629.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,498.21 / $2,629.69 / $2,925.00	Professional		$2,498.21	$2,629.69	$2,925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,715.66 / $4,570.26 / $8,437.50	Professional		$1,715.66	$4,570.26	$8,437.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,747.41 / $3,562.50 / $6,546.09	Facility		$2,747.41	$3,562.50	$6,546.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,747.41 / $3,000.00 / $4,500.00	Professional		$2,747.41	$3,000.00	$4,500.00
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 $1,226.53 / $1,752.18 / $2,920.30	Professional		$1,226.53	$1,752.18	$2,920.30