Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,036.26 / $5,036.26 / $15,713.10	Facility		$5,036.26	$5,036.26	$15,713.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,036.26 / $5,036.26 / $5,036.26	Professional		$5,036.26	$5,036.26	$5,036.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,276.23 / $11,306.32 / $21,388.22	Facility		$6,276.23	$11,306.32	$21,388.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,914.22 / $5,172.85 / $5,172.85	Professional		$4,914.22	$5,172.85	$5,172.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,735.14 / $5,351.02 / $5,351.02	Professional		$4,735.14	$5,351.02	$5,351.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,036.26 / $6,295.32 / $14,013.40	Facility		$5,036.26	$6,295.32	$14,013.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5,036.26 / $5,560.87 / $6,673.04	Professional		$5,036.26	$5,560.87	$6,673.04
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 $4,855.30 / $4,855.30 / $5,146.62	Facility		$4,855.30	$4,855.30	$5,146.62
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,565.59	Professional		$5,246.10	$5,246.10	$5,565.59