Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,384.69 / $2,384.69 / $3,720.13	Facility		$2,384.69	$2,384.69	$3,720.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,158.78 / $2,384.69 / $2,384.69	Professional		$2,158.78	$2,384.69	$2,384.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,715.04 / $3,785.90 / $6,649.30	Facility		$2,715.04	$3,785.90	$6,649.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,384.69 / $2,510.21 / $2,685.92	Professional		$2,384.69	$2,510.21	$2,685.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.08 / $2,789.12 / $5,647.97	Professional		$1,272.08	$2,789.12	$5,647.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,384.69 / $2,384.69 / $4,381.89	Facility		$2,384.69	$2,384.69	$4,381.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,384.69 / $2,915.56 / $3,382.04	Professional		$2,384.69	$2,915.56	$3,382.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,078.44 / $2,286.29 / $3,741.21	Professional		$2,078.44	$2,286.29	$3,741.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,506.13 / $3,099.02	Professional		$1,054.29	$1,506.13	$3,099.02