Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $1,170.39 / $3,651.62	Facility		$1,170.39	$1,170.39	$3,651.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.39 / $1,170.39 / $1,170.39	Professional		$1,170.39	$1,170.39	$1,170.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.96 / $2,786.77 / $5,271.74	Facility		$1,546.96	$2,786.77	$5,271.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.38 / $1,062.50 / $1,062.50	Professional		$1,009.38	$1,062.50	$1,062.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.50 / $1,243.54 / $1,243.54	Professional		$1,062.50	$1,243.54	$1,243.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $1,462.99 / $3,256.61	Facility		$1,170.39	$1,462.99	$3,256.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,170.39 / $1,292.31 / $1,550.77	Professional		$1,170.39	$1,292.31	$1,550.77
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 Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,243.67	Professional		$1,219.16	$1,219.16	$1,243.67