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 $1,650.00 / $1,650.00 / $2,261.63	Professional		$1,650.00	$1,650.00	$2,261.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.49 / $987.78 / $1,338.29	Facility		$847.49	$987.78	$1,338.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,157.50 / $3,157.50 / $3,157.50	Professional		$3,157.50	$3,157.50	$3,157.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,199.52 / $2,056.00 / $4,933.00	Facility		$1,199.52	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,199.52 / $1,199.52 / $1,721.25	Professional		$1,199.52	$1,199.52	$1,721.25
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 $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00