Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,960.20 / $2,960.20 / $4,617.91	Facility		$2,960.20	$2,960.20	$4,617.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,679.76 / $2,960.20 / $2,960.20	Professional		$2,679.76	$2,960.20	$2,960.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,185.10 / $2,185.10 / $2,185.10	Facility		$2,185.10	$2,185.10	$2,185.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,075.85 / $2,185.10 / $2,430.48	Professional		$2,075.85	$2,185.10	$2,430.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.56 / $3,797.54 / $7,011.00	Professional		$1,425.56	$3,797.54	$7,011.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,940.69 / $2,960.20 / $5,439.37	Facility		$2,940.69	$2,960.20	$5,439.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,940.69 / $2,960.20 / $3,739.20	Professional		$2,940.69	$2,960.20	$3,739.20
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 $1,308.72 / $1,869.60 / $3,125.73	Professional		$1,308.72	$1,869.60	$3,125.73