Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,679.35 / $3,679.35 / $5,739.79	Facility		$3,679.35	$3,679.35	$5,739.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,330.78 / $3,679.35 / $3,679.35	Professional		$3,330.78	$3,679.35	$3,679.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,141.78 / $4,380.93 / $7,694.39	Facility		$3,141.78	$4,380.93	$7,694.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,759.51 / $2,904.75 / $3,108.08	Professional		$2,759.51	$2,904.75	$3,108.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,689.18 / $2,316.14 / $5,388.21	Professional		$1,689.18	$2,316.14	$5,388.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,643.72 / $3,679.35 / $6,760.81	Facility		$3,643.72	$3,679.35	$6,760.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,643.72 / $3,679.35 / $4,647.60	Professional		$3,643.72	$3,679.35	$4,647.60
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 $1,626.66 / $2,323.80 / $3,873.00	Professional		$1,626.66	$2,323.80	$3,873.00