Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,878.19 / $2,878.19 / $7,195.47	Facility		$2,878.19	$2,878.19	$7,195.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,425.86 / $2,878.19 / $2,878.19	Professional		$2,425.86	$2,878.19	$2,878.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.14 / $1,188.73 / $2,113.88	Facility		$863.14	$1,188.73	$2,113.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.12 / $798.02 / $957.62	Professional		$758.12	$798.02	$957.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,570.00	Professional		$3,384.12	$3,384.12	$3,570.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,878.19 / $4,200.00 / $5,324.65	Facility		$2,878.19	$4,200.00	$5,324.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,878.19 / $4,200.00 / $5,040.00	Professional		$2,878.19	$4,200.00	$5,040.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,526.76	Professional		$4,200.00	$4,200.00	$4,526.76