Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,519.67 / $3,570.74 / $8,799.17	Facility		$3,519.67	$3,570.74	$8,799.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,519.67 / $3,519.67 / $3,739.65	Professional		$3,519.67	$3,519.67	$3,739.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $739.60 / $1,018.59 / $1,811.32	Facility		$739.60	$1,018.59	$1,811.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.61 / $683.80 / $820.56	Professional		$649.61	$683.80	$820.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $3,739.65 / $3,739.65	Professional		$379.53	$3,739.65	$3,739.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,570.71 / $3,886.31 / $6,511.39	Facility		$3,570.71	$3,886.31	$6,511.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,519.67 / $3,886.31 / $4,663.57	Professional		$3,519.67	$3,886.31	$4,663.57
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 $3,666.33 / $3,666.33 / $3,951.57	Professional		$3,666.33	$3,666.33	$3,951.57