Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.05 / $2,313.25 / $3,152.84	Facility		$2,021.05	$2,313.25	$3,152.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,021.05 / $2,313.25 / $2,313.25	Professional		$2,021.05	$2,313.25	$2,313.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,707.54 / $1,707.54 / $1,707.54	Facility		$1,707.54	$1,707.54	$1,707.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,622.16 / $1,707.54 / $1,899.30	Professional		$1,622.16	$1,707.54	$1,899.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,435.05 / $2,435.05 / $3,043.81	Professional		$2,435.05	$2,435.05	$3,043.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,081.92 / $2,313.25 / $3,713.68	Facility		$2,081.92	$2,313.25	$3,713.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,313.25 / $2,337.60 / $2,922.00	Professional		$2,313.25	$2,337.60	$2,922.00
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 $1,022.70 / $1,461.00 / $2,435.00	Professional		$1,022.70	$1,461.00	$2,435.00