Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,220.17 / $4,220.17 / $10,550.40	Facility		$4,220.17	$4,220.17	$10,550.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,220.17 / $4,220.17 / $4,483.93	Professional		$4,220.17	$4,220.17	$4,483.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,475.00 / $2,475.00 / $2,475.00	Facility		$2,475.00	$2,475.00	$2,475.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,351.25 / $2,475.00 / $2,970.00	Professional		$2,351.25	$2,475.00	$2,970.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,220.17 / $5,275.21 / $7,807.31	Facility		$4,220.17	$5,275.21	$7,807.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,220.17 / $5,275.21 / $6,330.25	Professional		$4,220.17	$5,275.21	$6,330.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $5,685.62	Professional		$5,275.21	$5,275.21	$5,685.62