Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $4,933.00 / $4,933.00	Facility		$1,875.00	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $2,125.00	Professional		$1,875.00	$1,875.00	$2,125.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.31 / $203.16 / $275.25	Facility		$174.31	$203.16	$275.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.50 / $437.50 / $3,801.60	Professional		$437.50	$437.50	$3,801.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $4,933.00 / $4,933.00	Facility		$1,875.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $3,024.00	Professional		$1,875.00	$1,875.00	$3,024.00
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 Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,181.70 / $3,181.70 / $3,181.70	Professional		$3,181.70	$3,181.70	$3,181.70