Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,615.59 / $2,615.59 / $4,080.32	Facility		$2,615.59	$2,615.59	$4,080.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,202.60 / $2,615.59 / $2,615.59	Professional		$2,202.60	$2,615.59	$2,615.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,834.18 / $1,834.18 / $1,930.72	Facility		$1,834.18	$1,834.18	$1,930.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,834.18 / $1,930.72 / $2,147.54	Professional		$1,834.18	$1,930.72	$2,147.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,707.86 / $3,355.63 / $4,194.54	Professional		$1,707.86	$3,355.63	$4,194.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,615.59 / $2,615.59 / $4,806.14	Facility		$2,615.59	$2,615.59	$4,806.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,615.59 / $2,643.12 / $3,303.90	Professional		$2,615.59	$2,643.12	$3,303.90
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 $1,156.36 / $1,651.95 / $2,753.25	Professional		$1,156.36	$1,651.95	$2,753.25