Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $12,000.00	Facility		$4,800.00	$4,800.00	$12,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $4,800.00	Professional		$4,800.00	$4,800.00	$4,800.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.71 / $3,072.96 / $5,464.52	Facility		$2,160.71	$3,072.96	$5,464.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,959.79 / $2,145.46 / $2,784.97	Professional		$1,959.79	$2,145.46	$2,784.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,300.00 / $5,400.00 / $8,880.00	Facility		$5,300.00	$5,400.00	$8,880.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $5,300.00 / $6,625.00	Professional		$4,800.00	$5,300.00	$6,625.00
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 $5,000.00 / $5,000.00 / $5,389.00	Professional		$5,000.00	$5,000.00	$5,389.00