Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $5,438.69 / $10,724.99	Facility		$2,056.00	$5,438.69	$10,724.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.00 / $1,811.20 / $3,235.00	Professional		$880.00	$1,811.20	$3,235.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,228.58 / $6,094.09 / $8,256.53	Facility		$5,228.58	$6,094.09	$8,256.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $793.84 / $793.84 / $1,190.77	Professional		$793.84	$793.84	$1,190.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.69 / $1,620.69 / $1,620.69	Professional		$1,620.69	$1,620.69	$1,620.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,158.35 / $4,933.00 / $10,724.99	Facility		$1,158.35	$4,933.00	$10,724.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,158.35 / $1,158.35 / $2,093.14	Professional		$1,158.35	$1,158.35	$2,093.14
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 $3,500.00 / $8,702.00 / $10,351.00	Facility		$3,500.00	$8,702.00	$10,351.00