Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.16 / $1,690.16 / $1,690.16	Facility		$1,690.16	$1,690.16	$1,690.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,690.16 / $1,690.16	Professional		$1,640.93	$1,690.16	$1,690.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $191.68 / $378.54	Facility		$123.68	$191.68	$378.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.86 / $270.24 / $350.80	Professional		$246.86	$270.24	$350.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.34 / $1,640.93 / $1,640.93	Professional		$364.34	$1,640.93	$1,640.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,690.16	Facility		$1,640.93	$1,640.93	$1,690.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,969.11	Professional		$1,640.93	$1,640.93	$1,969.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $483.22 / $2,461.39	Professional		$30.00	$483.22	$2,461.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,741.03	Professional		$1,640.93	$1,640.93	$1,741.03