Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,638.26 / $1,638.26 / $1,638.26	Facility		$1,638.26	$1,638.26	$1,638.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,638.26 / $1,638.26	Professional		$1,590.54	$1,638.26	$1,638.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.95 / $189.91 / $378.54	Facility		$122.95	$189.91	$378.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $52.00 / $67.50	Professional		$47.50	$52.00	$67.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,025.69	Professional		$1,590.54	$1,590.54	$2,025.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,638.26	Facility		$1,590.54	$1,590.54	$1,638.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,908.64	Professional		$1,590.54	$1,590.54	$1,908.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,232.65 / $2,780.49	Professional		$30.00	$2,232.65	$2,780.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,853.66	Professional		$1,590.54	$1,590.54	$1,853.66