Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,019.89 / $3,151.03	Facility		$2,000.00	$2,019.89	$3,151.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,747.55 / $2,019.89 / $2,019.89	Professional		$1,747.55	$2,019.89	$2,019.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,416.45 / $1,416.45 / $1,491.00	Facility		$1,416.45	$1,416.45	$1,491.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,416.45 / $1,491.00 / $1,658.44	Professional		$1,416.45	$1,491.00	$1,658.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,591.16 / $2,591.16 / $3,238.95	Professional		$2,591.16	$2,591.16	$3,238.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,019.89 / $3,711.55	Facility		$2,000.00	$2,019.89	$3,711.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,019.89 / $2,041.15 / $2,551.44	Professional		$2,019.89	$2,041.15	$2,551.44
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 Facility Modifier Low / Median / High Price $2,126.19 / $2,126.19 / $2,551.44	Facility		$2,126.19	$2,126.19	$2,551.44
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $1,275.72 / $2,126.19	Professional		$893.00	$1,275.72	$2,126.19