Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,778.99 / $3,612.69 / $5,396.10	Facility		$2,778.99	$3,612.69	$5,396.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,752.01 / $3,237.66	Professional		$2,698.05	$2,752.01	$3,237.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,134.35 / $5,884.68 / $11,212.97	Facility		$3,134.35	$5,884.68	$11,212.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,611.50 / $2,858.91 / $3,711.08	Professional		$2,611.50	$2,858.91	$3,711.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,189.75	Professional		$2,698.05	$2,698.05	$3,189.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $4,863.22 / $7,732.54	Facility		$2,698.05	$4,863.22	$7,732.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,778.99 / $3,507.46	Professional		$2,698.05	$2,778.99	$3,507.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,658.13 / $2,923.94 / $3,987.19	Professional		$2,658.13	$2,923.94	$3,987.19
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $3,003.50 / $3,264.64	Professional		$2,698.05	$3,003.50	$3,264.64