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 $1,069.83 / $1,620.00 / $2,740.85	Professional		$1,069.83	$1,620.00	$2,740.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.92 / $761.01 / $1,031.05	Facility		$652.92	$761.01	$1,031.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $793.84 / $793.84 / $793.84	Professional		$793.84	$793.84	$793.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,803.82 / $1,803.82 / $1,803.82	Professional		$1,803.82	$1,803.82	$1,803.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $536.26 / $4,933.00 / $4,933.00	Facility		$536.26	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $536.26 / $536.26 / $798.00	Professional		$536.26	$536.26	$798.00
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 $551.48 / $2,704.00 / $4,504.00	Facility		$551.48	$2,704.00	$4,504.00