Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $4,064.92	Facility		$0.02	$0.02	$4,064.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.00 / $2,710.00 / $2,710.00	Professional		$1,355.00	$2,710.00	$2,710.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,198.31 / $3,065.36 / $5,383.78	Facility		$2,198.31	$3,065.36	$5,383.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,930.84 / $2,032.46 / $2,174.73	Professional		$1,930.84	$2,032.46	$2,174.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,239.81 / $2,709.95 / $6,097.39	Professional		$1,239.81	$2,709.95	$6,097.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $2,601.55	Facility		$0.02	$0.02	$2,601.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,601.55 / $2,601.55 / $3,512.09	Professional		$2,601.55	$2,601.55	$3,512.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,243.84 / $2,468.22 / $4,038.91	Professional		$2,243.84	$2,468.22	$4,038.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,625.97 / $2,709.95	Professional		$1,138.18	$1,625.97	$2,709.95