Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.47 / $1,084.47 / $1,084.47	Facility		$1,084.47	$1,084.47	$1,084.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,084.47 / $1,084.47	Professional		$1,052.89	$1,084.47	$1,084.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.30 / $375.52 / $769.61	Facility		$242.30	$375.52	$769.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.68 / $922.51 / $1,197.49	Professional		$842.68	$922.51	$1,197.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.20 / $1,052.89 / $1,052.89	Professional		$324.20	$1,052.89	$1,052.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $237.60 / $1,052.89 / $1,084.47	Facility		$237.60	$1,052.89	$1,084.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,263.46	Professional		$1,052.89	$1,052.89	$1,263.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $450.27 / $1,579.33	Professional		$30.00	$450.27	$1,579.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,117.11	Professional		$1,052.89	$1,052.89	$1,117.11