Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,157.80 / $3,157.80 / $4,926.17	Facility		$3,157.80	$3,157.80	$4,926.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,725.68 / $3,157.80 / $3,157.80	Professional		$2,725.68	$3,157.80	$3,157.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.84 / $843.84 / $888.25	Facility		$843.84	$843.84	$888.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.84 / $888.25 / $1,199.14	Professional		$843.84	$888.25	$1,199.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,944.54 / $4,051.12 / $5,063.89	Professional		$1,944.54	$4,051.12	$5,063.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,127.22 / $3,157.80 / $5,802.46	Facility		$3,127.22	$3,157.80	$5,802.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,127.22 / $3,157.80 / $3,988.80	Professional		$3,127.22	$3,157.80	$3,988.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,396.08 / $2,991.60 / $3,988.80	Facility		$1,396.08	$2,991.60	$3,988.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.08 / $1,994.40 / $3,324.00	Professional		$1,396.08	$1,994.40	$3,324.00