Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.00 / $1,102.00 / $2,063.88	Facility		$1,102.00	$1,102.00	$2,063.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.60 / $1,102.00 / $1,102.00	Professional		$997.60	$1,102.00	$1,102.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.78 / $772.78 / $813.45	Facility		$772.78	$772.78	$813.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.78 / $813.45 / $904.80	Professional		$772.78	$813.45	$904.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.08 / $649.60 / $2,610.00	Professional		$499.08	$649.60	$2,610.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,102.00 / $1,102.00 / $2,063.88	Facility		$1,102.00	$1,102.00	$2,063.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,113.59 / $1,392.00	Professional		$1,102.00	$1,113.59	$1,392.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $960.48 / $1,056.52 / $1,728.86	Professional		$960.48	$1,056.52	$1,728.86
United Facility/Professional Facility Modifier Low / Median / High Price $487.20 / $1,044.00 / $1,392.00	Facility		$487.20	$1,044.00	$1,392.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,160.00	Professional		$487.20	$696.00	$1,160.00