Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,502.79 / $2,513.92 / $7,843.43	Facility		$2,502.79	$2,513.92	$7,843.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,465.11 / $2,672.88	Professional		$2,429.89	$2,465.11	$2,672.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.83 / $4,985.87 / $10,236.40	Facility		$2,822.83	$4,985.87	$10,236.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,351.94 / $2,574.76 / $3,342.24	Professional		$2,351.94	$2,574.76	$3,342.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,865.44	Professional		$2,429.89	$2,429.89	$2,865.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $3,142.40 / $6,994.98	Facility		$2,429.89	$3,142.40	$6,994.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,465.11 / $3,016.70	Professional		$2,429.89	$2,465.11	$3,016.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,672.87 / $3,644.83	Professional		$2,429.89	$2,672.87	$3,644.83
United Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,704.98 / $3,013.35	Professional		$2,429.89	$2,704.98	$3,013.35