Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,387.20 / $7,387.20 / $11,524.00	Facility		$7,387.20	$7,387.20	$11,524.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,687.36 / $7,387.20 / $7,776.00	Professional		$6,687.36	$7,387.20	$7,776.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,410.52 / $11,727.76 / $20,597.84	Facility		$8,410.52	$11,727.76	$20,597.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,387.20 / $7,776.00 / $8,320.32	Professional		$7,387.20	$7,776.00	$8,320.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,940.70 / $9,477.11 / $11,846.39	Professional		$3,940.70	$9,477.11	$11,846.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7,387.20 / $7,387.20 / $13,574.00	Facility		$7,387.20	$7,387.20	$13,574.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7,387.20 / $7,464.96 / $9,331.20	Professional		$7,387.20	$7,464.96	$9,331.20
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 $3,265.92 / $4,665.60 / $7,776.00	Professional		$3,265.92	$4,665.60	$7,776.00