Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,886.04 / $3,931.80 / $12,124.40	Facility		$3,886.04	$3,931.80	$12,124.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,931.80 / $4,565.14	Professional		$3,817.28	$3,931.80	$4,565.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,434.58 / $8,325.82 / $15,864.45	Facility		$4,434.58	$8,325.82	$15,864.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,694.84 / $3,889.30 / $3,889.30	Professional		$3,694.84	$3,889.30	$3,889.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,788.00 / $3,817.28 / $3,817.28	Professional		$2,788.00	$3,817.28	$3,817.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $4,857.55 / $10,812.90	Facility		$3,817.28	$4,857.55	$10,812.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,886.04 / $4,580.72	Professional		$3,817.28	$3,886.04	$4,580.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $5,259.06 / $5,725.92	Professional		$30.00	$5,259.06	$5,725.92
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,249.43 / $4,886.84	Professional		$3,817.28	$4,249.43	$4,886.84