Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,812.64 / $4,827.46 / $15,015.40	Facility		$4,812.64	$4,827.46	$15,015.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,827.46 / $5,653.69	Professional		$4,686.85	$4,827.46	$5,653.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,793.85 / $10,437.33 / $19,744.34	Facility		$5,793.85	$10,437.33	$19,744.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,594.97 / $3,784.18 / $3,784.18	Professional		$3,594.97	$3,784.18	$3,784.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,540.98 / $4,686.85 / $4,686.85	Professional		$2,540.98	$4,686.85	$4,686.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $6,015.80 / $13,391.20	Facility		$4,686.85	$6,015.80	$13,391.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,812.64 / $5,624.22	Professional		$4,686.85	$4,812.64	$5,624.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,373.34 / $5,389.87 / $5,390.80	Professional		$5,373.34	$5,389.87	$5,390.80
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,972.28	Professional		$4,686.85	$4,686.85	$4,972.28