Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $8,160.00	Facility		$3,264.00	$3,264.00	$8,160.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,725.04	Professional		$3,264.00	$3,264.00	$3,725.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,190.97 / $1,190.97 / $1,190.97	Facility		$1,190.97	$1,190.97	$1,190.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.42 / $1,250.52 / $1,607.81	Professional		$1,131.42	$1,250.52	$1,607.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,024.00 / $3,360.00 / $6,038.40	Facility		$3,024.00	$3,360.00	$6,038.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,604.00 / $4,324.80	Professional		$3,264.00	$3,604.00	$4,324.80
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 $3,400.00 / $3,400.00 / $4,080.00	Professional		$3,400.00	$3,400.00	$4,080.00