Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.29 / $1,645.29 / $1,645.29	Facility		$1,645.29	$1,645.29	$1,645.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.95 / $1,645.29 / $1,645.29	Professional		$868.95	$1,645.29	$1,645.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.07 / $2,314.00 / $4,114.91	Facility		$1,627.07	$2,314.00	$4,114.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $87.89 / $110.93	Professional		$78.06	$87.89	$110.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.62 / $279.62 / $279.62	Facility		$279.62	$279.62	$279.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.33 / $310.55 / $577.26	Professional		$195.33	$310.55	$577.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $215.57 / $215.57 / $1,645.29	Facility		$215.57	$215.57	$1,645.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $215.57 / $339.25 / $1,645.29	Professional		$215.57	$339.25	$1,645.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $37.31 / $175.05	Professional		$32.41	$37.31	$175.05
United Facility/Professional Professional Modifier Low / Median / High Price $270.77 / $828.01 / $2,016.11	Professional		$270.77	$828.01	$2,016.11