Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,036.42 / $2,036.42 / $3,176.82	Facility		$2,036.42	$2,036.42	$3,176.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.16 / $2,036.42 / $2,036.42	Professional		$1,286.16	$2,036.42	$2,036.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,503.20 / $1,503.20 / $1,503.20	Facility		$1,503.20	$1,503.20	$1,503.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,428.04 / $1,503.20 / $1,672.01	Professional		$1,428.04	$1,503.20	$1,672.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.82 / $2,143.60 / $3,078.92	Professional		$1,028.82	$2,143.60	$3,078.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $566.46 / $2,036.42 / $3,741.92	Facility		$566.46	$2,036.42	$3,741.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $566.46 / $742.79 / $2,572.32	Professional		$566.46	$742.79	$2,572.32
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 Professional Modifier Low / Median / High Price $252.88 / $389.50 / $1,286.16	Professional		$252.88	$389.50	$1,286.16