Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.65 / $1,222.65 / $1,907.33	Facility		$1,222.65	$1,222.65	$1,907.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.33 / $1,222.65 / $1,222.65	Professional		$1,055.33	$1,222.65	$1,222.65
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 $514.79 / $1,287.00 / $2,895.75	Professional		$514.79	$1,287.00	$2,895.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,210.81 / $1,222.65 / $2,246.62	Facility		$1,210.81	$1,222.65	$2,246.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,210.81 / $1,222.65 / $1,544.40	Professional		$1,210.81	$1,222.65	$1,544.40
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 $540.54 / $772.20 / $832.56	Professional		$540.54	$772.20	$832.56