Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,244.00 / $5,244.00 / $8,167.50	Facility		$5,244.00	$5,244.00	$8,167.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,747.20 / $5,244.00 / $5,244.00	Professional		$4,747.20	$5,244.00	$5,244.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,818.31 / $3,818.31 / $3,818.31	Facility		$3,818.31	$3,818.31	$3,818.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,627.39 / $3,818.31 / $4,247.10	Professional		$3,627.39	$3,818.31	$4,247.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,602.46 / $3,080.87 / $7,575.36	Professional		$2,602.46	$3,080.87	$7,575.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,244.00 / $5,244.00 / $9,635.85	Facility		$5,244.00	$5,244.00	$9,635.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5,244.00 / $5,280.00 / $6,555.00	Professional		$5,244.00	$5,280.00	$6,555.00
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 $2,310.00 / $3,300.00 / $5,500.00	Professional		$2,310.00	$3,300.00	$5,500.00