Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,052.08	Facility		$1,052.08	$1,052.08	$1,052.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.19 / $1,052.08 / $1,052.08	Professional		$719.19	$1,052.08	$1,052.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.34 / $1,290.84 / $2,494.03	Facility		$666.34	$1,290.84	$2,494.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.91 / $450.85 / $536.73	Professional		$407.91	$450.85	$536.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $660.00	Professional		$660.00	$660.00	$660.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $658.49 / $658.49 / $1,052.08	Facility		$658.49	$658.49	$1,052.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $658.49 / $687.10 / $1,052.08	Professional		$658.49	$687.10	$1,052.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $711.04 / $711.04 / $711.04	Professional		$711.04	$711.04	$711.04