Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $1,726.72	Facility		$1,726.72	$1,726.72	$1,726.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $3,135.93	Professional		$1,726.72	$1,726.72	$3,135.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.55 / $1,464.14 / $3,637.28	Facility		$954.55	$1,464.14	$3,637.28
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 $1,726.72 / $1,726.72 / $1,726.72	Facility		$1,726.72	$1,726.72	$1,726.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $1,726.72	Professional		$1,726.72	$1,726.72	$1,726.72
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