Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,056.00 / $4,933.00	Facility		$2,056.00	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.74 / $1,312.74 / $1,312.74	Professional		$1,312.74	$1,312.74	$1,312.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.48 / $249.98 / $338.68	Facility		$214.48	$249.98	$338.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,293.53 / $1,293.53 / $1,293.53	Professional		$1,293.53	$1,293.53	$1,293.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $4,921.76 / $4,933.00	Facility		$2,056.00	$4,921.76	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,056.00 / $4,921.76 / $5,635.41	Professional		$2,056.00	$4,921.76	$5,635.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,351.00 / $1,844.00	Facility		$464.00	$1,351.00	$1,844.00