Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,888.42 / $4,933.00 / $8,217.00	Facility		$3,888.42	$4,933.00	$8,217.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,888.42 / $3,888.42	Professional		$3,800.00	$3,888.42	$3,888.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,122.07 / $16,558.02 / $38,222.08	Facility		$12,122.07	$16,558.02	$38,222.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,141.25 / $5,141.25 / $5,141.25	Professional		$5,141.25	$5,141.25	$5,141.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,888.42 / $5,757.00 / $8,217.00	Facility		$3,888.42	$5,757.00	$8,217.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,888.42 / $3,888.42 / $3,888.42	Professional		$3,888.42	$3,888.42	$3,888.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,359.00 / $12,767.00	Facility		$5,000.00	$10,359.00	$12,767.00