Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,743.10 / $4,059.19 / $9,026.60	Facility		$2,743.10	$4,059.19	$9,026.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,743.10 / $2,743.10 / $3,130.56	Professional		$2,743.10	$2,743.10	$3,130.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,194.62 / $2,194.62 / $2,194.62	Facility		$2,194.62	$2,194.62	$2,194.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,084.89 / $2,194.62 / $2,633.54	Professional		$2,084.89	$2,194.62	$2,633.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,880.25 / $3,428.88 / $9,026.60	Facility		$2,880.25	$3,428.88	$9,026.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,743.10 / $3,028.84 / $3,634.60	Professional		$2,743.10	$3,028.84	$3,634.60
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 $2,857.40 / $2,857.40 / $3,085.99	Professional		$2,857.40	$2,857.40	$3,085.99