Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $2,374.87	Facility		$2,374.87	$2,374.87	$2,374.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $2,374.87 / $2,374.87	Professional		$95.00	$2,374.87	$2,374.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $80.06 / $114.06	Facility		$67.84	$80.06	$114.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $138.27 / $188.45	Professional		$32.77	$138.27	$188.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.70 / $1,107.70 / $1,107.70	Professional		$1,107.70	$1,107.70	$1,107.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,374.87 / $3,569.40 / $3,966.00	Facility		$2,374.87	$3,569.40	$3,966.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $149.12 / $2,374.87 / $3,635.50	Professional		$149.12	$2,374.87	$3,635.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00