Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $10,103.90	Facility		$4,041.56	$4,041.56	$10,103.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $4,294.16	Professional		$4,041.56	$4,041.56	$4,294.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,736.74 / $2,391.87 / $4,253.37	Facility		$1,736.74	$2,391.87	$4,253.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,525.42 / $1,605.71 / $1,926.85	Professional		$1,525.42	$1,605.71	$1,926.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,647.78 / $4,294.16 / $4,294.16	Professional		$3,647.78	$4,294.16	$4,294.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,130.57 / $4,546.76 / $7,476.89	Facility		$4,130.57	$4,546.76	$7,476.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,462.56 / $5,355.07	Professional		$4,041.56	$4,462.56	$5,355.07
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 $4,209.96 / $4,209.96 / $4,537.49	Professional		$4,209.96	$4,209.96	$4,537.49