Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,420.00 / $3,420.00 / $5,335.20	Facility		$3,420.00	$3,420.00	$5,335.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,096.00 / $3,420.00 / $3,600.00	Professional		$3,096.00	$3,420.00	$3,600.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,930.53 / $5,480.80 / $9,626.10	Facility		$3,930.53	$5,480.80	$9,626.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,452.30 / $3,634.00 / $3,888.38	Professional		$3,452.30	$3,634.00	$3,888.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,703.44 / $2,016.58 / $5,008.39	Professional		$1,703.44	$2,016.58	$5,008.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,420.00 / $3,420.00 / $6,284.25	Facility		$3,420.00	$3,420.00	$6,284.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,420.00 / $3,456.00 / $4,320.00	Professional		$3,420.00	$3,456.00	$4,320.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,980.80 / $3,427.92 / $4,471.20	Professional		$2,980.80	$3,427.92	$4,471.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $4,320.00	Facility		$3,600.00	$3,600.00	$4,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $3,600.00	Professional		$1,512.00	$2,160.00	$3,600.00