Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,543.75 / $1,543.75 / $2,408.25	Facility		$1,543.75	$1,543.75	$2,408.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,543.75 / $1,543.75	Professional		$975.00	$1,543.75	$1,543.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.28 / $1,419.87 / $2,516.46	Facility		$990.28	$1,419.87	$2,516.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.50 / $950.00 / $1,016.50	Professional		$902.50	$950.00	$1,016.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.62 / $1,980.34 / $3,656.25	Professional		$950.62	$1,980.34	$3,656.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,528.80 / $1,543.75 / $2,836.64	Facility		$1,528.80	$1,543.75	$2,836.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,528.80 / $1,543.75 / $2,031.25	Professional		$1,528.80	$1,543.75	$2,031.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,345.50 / $1,480.05 / $1,816.42	Professional		$1,345.50	$1,480.05	$1,816.42
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $975.00 / $1,625.00	Professional		$682.50	$975.00	$1,625.00