Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,878.00 / $4,933.00	Facility		$2,056.00	$2,878.00	$4,933.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,106.96 / $5,957.10 / $8,030.65	Facility		$5,106.96	$5,957.10	$8,030.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.76 / $630.76 / $630.76	Professional		$630.76	$630.76	$630.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,878.00 / $4,933.00	Facility		$2,056.00	$2,878.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,056.00 / $2,056.00 / $4,933.00	Professional		$2,056.00	$2,056.00	$4,933.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,846.00 / $9,975.00 / $12,767.00	Facility		$4,846.00	$9,975.00	$12,767.00