Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.78 / $2,020.78 / $5,051.95	Facility		$2,020.78	$2,020.78	$5,051.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,020.78 / $2,147.08	Professional		$2,020.78	$2,020.78	$2,147.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $835.69 / $1,150.92 / $2,046.65	Facility		$835.69	$1,150.92	$2,046.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $734.01 / $772.64 / $927.17	Professional		$734.01	$772.64	$927.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.22 / $2,147.08 / $2,147.08	Professional		$373.22	$2,147.08	$2,147.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,020.78 / $2,231.28 / $3,738.44	Facility		$2,020.78	$2,231.28	$3,738.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,231.28 / $2,677.53	Professional		$2,020.78	$2,231.28	$2,677.53
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 $2,104.98 / $2,104.98 / $2,300.73	Professional		$2,104.98	$2,104.98	$2,300.73