Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,227.04	Facility		$1,227.04	$1,227.04	$1,227.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,303.44	Professional		$1,227.04	$1,227.04	$1,303.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $929.42 / $1,456.87 / $3,615.87	Facility		$929.42	$1,456.87	$3,615.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,227.04	Facility		$1,227.04	$1,227.04	$1,227.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,303.44	Professional		$1,227.04	$1,227.04	$1,303.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $619.26 / $619.26 / $619.26	Facility		$619.26	$619.26	$619.26