Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,928.50 / $1,928.50 / $3,008.46	Facility		$1,928.50	$1,928.50	$3,008.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,745.80 / $1,928.50 / $2,030.00	Professional		$1,745.80	$1,928.50	$2,030.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.74 / $2,296.23 / $4,032.95	Facility		$1,646.74	$2,296.23	$4,032.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,446.38 / $1,522.50 / $1,629.08	Professional		$1,446.38	$1,522.50	$1,629.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $2,030.00 / $4,567.50	Professional		$141.44	$2,030.00	$4,567.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,928.50 / $1,928.50 / $3,543.62	Facility		$1,928.50	$1,928.50	$3,543.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,928.50 / $1,948.80 / $2,436.00	Professional		$1,928.50	$1,948.80	$2,436.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,680.84 / $1,848.92 / $3,025.51	Professional		$1,680.84	$1,848.92	$3,025.51
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,218.00 / $2,030.00	Professional		$852.60	$1,218.00	$2,030.00