Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.55 / $1,028.55 / $3,209.08	Facility		$1,028.55	$1,028.55	$3,209.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,028.55 / $1,092.83	Professional		$1,028.55	$1,028.55	$1,092.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,210.13 / $2,271.98 / $4,329.17	Facility		$1,210.13	$2,271.98	$4,329.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.26 / $1,103.78 / $1,432.80	Professional		$1,008.26	$1,103.78	$1,432.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,284.55	Professional		$1,092.83	$1,092.83	$1,284.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,123.35 / $2,005.67 / $2,861.94	Facility		$1,123.35	$2,005.67	$2,861.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,135.69 / $1,362.82	Professional		$1,028.55	$1,135.69	$1,362.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,135.69 / $1,306.04 / $1,703.53	Professional		$1,135.69	$1,306.04	$1,703.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,192.70 / $1,371.61	Professional		$1,071.41	$1,192.70	$1,371.61