Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $3,484.42 / $4,680.00	Facility		$700.00	$3,484.42	$4,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,262.56 / $3,484.42 / $3,484.42	Professional		$2,262.56	$3,484.42	$3,484.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,832.64 / $10,239.65 / $19,881.49	Facility		$4,832.64	$10,239.65	$19,881.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.52 / $2,608.33 / $3,660.81	Professional		$267.52	$2,608.33	$3,660.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $2,620.10 / $2,620.10	Professional		$1,700.00	$2,620.10	$2,620.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,645.46 / $2,645.46 / $3,484.42	Facility		$2,645.46	$2,645.46	$3,484.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,198.69 / $3,049.99 / $4,290.01	Professional		$2,198.69	$3,049.99	$4,290.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,826.34 / $2,865.20 / $4,812.77	Professional		$1,826.34	$2,865.20	$4,812.77