Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.05 / $1,843.52 / $2,753.58	Facility		$1,363.05	$1,843.52	$2,753.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,363.05 / $1,455.68	Professional		$1,323.35	$1,363.05	$1,455.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,537.34 / $2,886.33 / $5,499.76	Facility		$1,537.34	$2,886.33	$5,499.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.83 / $1,268.61 / $1,646.77	Professional		$1,158.83	$1,268.61	$1,646.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,671.02	Professional		$1,323.35	$1,323.35	$1,671.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $2,481.66 / $3,945.84	Facility		$1,323.35	$2,481.66	$3,945.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,363.05 / $1,668.66	Professional		$1,323.35	$1,363.05	$1,668.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,455.68 / $2,022.37	Professional		$1,323.35	$1,455.68	$2,022.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,473.17 / $1,694.15	Professional		$1,323.35	$1,473.17	$1,694.15