Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $11,232.00	Facility		$3,600.00	$3,600.00	$11,232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,825.00	Professional		$3,600.00	$3,600.00	$3,825.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,484.68 / $6,176.39 / $10,983.24	Facility		$4,484.68	$6,176.39	$10,983.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,939.02 / $4,146.34 / $4,975.60	Professional		$3,939.02	$4,146.34	$4,975.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.62 / $3,825.00 / $3,825.00	Professional		$482.62	$3,825.00	$3,825.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $4,500.00 / $10,017.00	Facility		$3,600.00	$4,500.00	$10,017.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,975.00 / $4,770.00	Professional		$3,600.00	$3,975.00	$4,770.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $4,050.00	Professional		$3,750.00	$3,750.00	$4,050.00