Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.24 / $1,539.24 / $1,539.24	Facility		$1,539.24	$1,539.24	$1,539.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,539.24 / $1,539.24	Professional		$1,494.41	$1,539.24	$1,539.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,296.00 / $3,546.41 / $7,068.87	Facility		$2,296.00	$3,546.41	$7,068.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.52 / $999.21 / $1,750.99	Professional		$304.52	$999.21	$1,750.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,903.17	Professional		$1,494.41	$1,494.41	$1,903.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,539.24 / $2,830.80	Facility		$1,494.41	$1,539.24	$2,830.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,793.29	Professional		$1,494.41	$1,494.41	$1,793.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,494.35 / $1,643.85 / $2,082.02	Professional		$1,494.35	$1,643.85	$2,082.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,793.29	Professional		$1,494.41	$1,494.41	$1,793.29