Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,814.76 / $3,001.45 / $4,682.26	Facility		$2,814.76	$3,001.45	$4,682.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,527.54 / $2,685.51 / $4,739.13	Professional		$2,527.54	$2,685.51	$4,739.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,104.77 / $2,104.77 / $2,215.55	Facility		$2,104.77	$2,104.77	$2,215.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,104.77 / $2,215.55 / $2,464.35	Professional		$2,104.77	$2,215.55	$2,464.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,025.00 / $3,850.40 / $4,813.00	Professional		$2,025.00	$3,850.40	$4,813.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,001.45 / $3,001.45 / $5,515.16	Facility		$3,001.45	$3,001.45	$5,515.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,033.04 / $3,033.04 / $4,094.60	Professional		$3,033.04	$3,033.04	$4,094.60
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 $1,326.96 / $1,895.65 / $3,159.42	Professional		$1,326.96	$1,895.65	$3,159.42