Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.38 / $2,313.50 / $4,844.50	Facility		$1,080.38	$2,313.50	$4,844.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.13 / $1,080.38 / $1,332.03	Professional		$926.13	$1,080.38	$1,332.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,710.00 / $3,850.63 / $7,886.48	Facility		$1,710.00	$3,850.63	$7,886.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $1,461.35 / $1,845.91	Professional		$195.70	$1,461.35	$1,845.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.61 / $1,579.89 / $2,735.82	Professional		$926.61	$1,579.89	$2,735.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,043.60 / $1,080.38 / $4,844.50	Facility		$1,043.60	$1,080.38	$4,844.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $995.51 / $1,080.38 / $1,381.56	Professional		$995.51	$1,080.38	$1,381.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.15 / $852.33 / $1,308.34	Professional		$126.15	$852.33	$1,308.34
United Facility/Professional Professional Modifier Low / Median / High Price $978.03 / $1,223.82 / $1,675.68	Professional		$978.03	$1,223.82	$1,675.68