Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $260.01 / $260.01	Facility		$208.01	$260.01	$260.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $260.01 / $411.25	Professional		$260.01	$260.01	$411.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,268.28 / $11,387.23 / $20,249.49	Facility		$8,268.28	$11,387.23	$20,249.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,790.22 / $7,147.60 / $9,649.26	Professional		$6,790.22	$7,147.60	$9,649.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $167.07 / $190.00	Professional		$102.40	$167.07	$190.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $260.01 / $17,954.46	Facility		$208.01	$260.01	$17,954.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $145.71 / $260.01 / $334.04	Professional		$145.71	$260.01	$334.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00