Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $2,093.86 / $2,093.86	Facility		$1,046.93	$2,093.86	$2,093.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,046.93 / $1,180.46	Professional		$1,007.42	$1,046.93	$1,180.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,181.49 / $2,052.21 / $3,881.12	Facility		$1,181.49	$2,052.21	$3,881.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,086.44	Professional		$1,046.93	$1,046.93	$1,086.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,066.68 / $1,185.20	Facility		$1,046.93	$1,066.68	$1,185.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,256.31	Professional		$1,046.93	$1,046.93	$1,256.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,203.96 / $1,203.96 / $1,203.96	Professional		$1,203.96	$1,203.96	$1,203.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,257.38	Professional		$1,185.20	$1,185.20	$1,257.38