Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,249.32 / $5,524.12 / $8,251.10	Facility		$4,249.32	$5,524.12	$8,251.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,169.30 / $4,540.82	Professional		$4,128.02	$4,169.30	$4,540.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,795.57 / $9,003.57 / $17,155.87	Facility		$4,795.57	$9,003.57	$17,155.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $260.00 / $337.50	Professional		$237.50	$260.00	$337.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,867.95	Professional		$4,128.02	$4,128.02	$4,867.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $5,524.12 / $11,823.70	Facility		$50.00	$5,524.12	$11,823.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,166.81 / $5,000.17	Professional		$4,128.02	$4,166.81	$5,000.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,988.33 / $4,387.16 / $5,982.49	Professional		$3,988.33	$4,387.16	$5,982.49
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,595.35 / $4,994.89	Professional		$4,128.02	$4,595.35	$4,994.89