Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,727.45 / $2,727.45 / $4,254.82	Facility		$2,727.45	$2,727.45	$4,254.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,469.06 / $2,727.45 / $2,727.45	Professional		$2,469.06	$2,727.45	$2,727.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,153.25 / $2,153.25 / $2,153.25	Facility		$2,153.25	$2,153.25	$2,153.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,045.59 / $2,153.25 / $2,303.98	Professional		$2,045.59	$2,153.25	$2,303.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.45 / $2,871.00 / $6,459.75	Professional		$1,313.45	$2,871.00	$6,459.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,000.87 / $2,727.45 / $5,011.68	Facility		$2,000.87	$2,727.45	$5,011.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,000.87 / $2,240.96 / $3,445.20	Professional		$2,000.87	$2,240.96	$3,445.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,377.19 / $2,614.90 / $4,278.94	Professional		$2,377.19	$2,614.90	$4,278.94
United Facility/Professional Professional Modifier Low / Median / High Price $893.25 / $1,276.07 / $2,126.78	Professional		$893.25	$1,276.07	$2,126.78