Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $4,113.52	Facility		$1,645.41	$1,645.41	$4,113.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $1,748.25	Professional		$1,645.41	$1,645.41	$1,748.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.21 / $1,549.66 / $2,755.70	Facility		$1,125.21	$1,549.66	$2,755.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $988.30 / $1,040.32 / $1,248.38	Professional		$988.30	$1,040.32	$1,248.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,485.09 / $1,748.25 / $1,748.25	Professional		$1,485.09	$1,748.25	$1,748.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,681.65 / $1,851.08 / $3,044.01	Facility		$1,681.65	$1,851.08	$3,044.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,816.81 / $2,180.17	Professional		$1,645.41	$1,816.81	$2,180.17
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 $1,713.97 / $1,713.97 / $1,851.09	Professional		$1,713.97	$1,713.97	$1,851.09