Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,904.07 / $4,904.07 / $11,361.93	Facility		$4,904.07	$4,904.07	$11,361.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,904.07 / $4,904.07 / $5,210.58	Professional		$4,904.07	$4,904.07	$5,210.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,525.26 / $7,609.49 / $13,531.67	Facility		$5,525.26	$7,609.49	$13,531.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,852.99 / $5,108.41 / $6,130.09	Professional		$4,852.99	$5,108.41	$6,130.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,587.91 / $5,210.58 / $6,022.26	Professional		$2,587.91	$5,210.58	$6,022.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,414.91 / $8,275.62 / $11,361.93	Facility		$5,414.91	$8,275.62	$11,361.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,904.07 / $5,414.91 / $6,497.89	Professional		$4,904.07	$5,414.91	$6,497.89
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 $5,108.41 / $5,108.41 / $5,517.08	Professional		$5,108.41	$5,108.41	$5,517.08