Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,811.41 / $4,933.00 / $4,933.00	Facility		$1,811.41	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.86 / $1,811.41 / $1,811.41	Professional		$1,605.86	$1,811.41	$1,811.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,781.86 / $11,995.49 / $27,690.08	Facility		$8,781.86	$11,995.49	$27,690.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.30 / $2,116.30 / $2,116.30	Professional		$2,116.30	$2,116.30	$2,116.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,811.41 / $4,933.00 / $6,906.00	Facility		$1,811.41	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,811.41 / $1,811.41 / $1,811.41	Professional		$1,811.41	$1,811.41	$1,811.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00