Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $12,103.14	Facility		$1,200.00	$1,200.00	$12,103.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,275.00	Professional		$1,200.00	$1,200.00	$1,275.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $12,103.14	Facility		$1,200.00	$1,200.00	$12,103.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,275.00	Professional		$1,200.00	$1,200.00	$1,275.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,347.25	Professional		$1,250.00	$1,250.00	$1,347.25