Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.97 / $1,240.09 / $1,934.56	Facility		$1,162.97	$1,240.09	$1,934.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,044.30 / $1,116.08 / $1,934.56	Professional		$1,044.30	$1,116.08	$1,934.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $915.39 / $915.39 / $915.39	Facility		$915.39	$915.39	$915.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $869.62 / $915.39 / $1,018.19	Professional		$869.62	$915.39	$1,018.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,444.50 / $1,444.50 / $1,805.63	Professional		$1,444.50	$1,444.50	$1,805.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,240.09 / $1,240.09 / $2,278.67	Facility		$1,240.09	$1,240.09	$2,278.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,253.16 / $1,253.16 / $1,566.44	Professional		$1,253.16	$1,253.16	$1,566.44
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 Professional Modifier Low / Median / High Price $548.26 / $783.22 / $1,696.98	Professional		$548.26	$783.22	$1,696.98