Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $9,288.00	Facility		$3,715.20	$3,715.20	$9,288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $3,947.40	Professional		$3,715.20	$3,715.20	$3,947.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,070.84 / $2,852.00 / $5,071.60	Facility		$2,070.84	$2,852.00	$5,071.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,818.88 / $1,914.61 / $2,297.53	Professional		$1,818.88	$1,914.61	$2,297.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $5,789.52	Professional		$3,947.40	$3,947.40	$5,789.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,715.20 / $4,644.00 / $6,873.12	Facility		$3,715.20	$4,644.00	$6,873.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $6,811.20 / $8,173.44	Professional		$3,715.20	$6,811.20	$8,173.44
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 $3,870.00 / $3,870.00 / $4,179.60	Professional		$3,870.00	$3,870.00	$4,179.60