Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,072.00 / $7,680.00	Facility		$3,072.00	$3,072.00	$7,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,072.00 / $3,264.00	Professional		$3,072.00	$3,072.00	$3,264.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $817.56 / $817.56 / $817.56	Facility		$817.56	$817.56	$817.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.68 / $858.44 / $1,103.71	Professional		$776.68	$858.44	$1,103.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $3,366.00 / $3,366.00	Facility		$3,366.00	$3,366.00	$3,366.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,392.00 / $3,564.00 / $5,683.20	Facility		$3,392.00	$3,564.00	$5,683.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,392.00 / $4,240.00	Professional		$3,072.00	$3,392.00	$4,240.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,840.00	Professional		$3,200.00	$3,200.00	$3,840.00