Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Facility		$4,933.00	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,250.00	Professional		$1,250.00	$1,250.00	$1,250.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.88 / $264.44 / $358.27	Facility		$226.88	$264.44	$358.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,735.32 / $1,735.32 / $1,735.32	Professional		$1,735.32	$1,735.32	$1,735.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Facility		$4,933.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Professional		$4,933.00	$4,933.00	$4,933.00
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 $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00