Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.05 / $288.05 / $506.04	Facility		$288.05	$288.05	$506.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $401.62 / $401.62	Professional		$289.39	$401.62	$401.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.70 / $652.63 / $1,156.67	Facility		$436.70	$652.63	$1,156.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.83 / $436.66 / $589.49	Professional		$414.83	$436.66	$589.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.01 / $280.01 / $350.02	Professional		$280.01	$280.01	$350.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $288.05 / $288.05 / $504.09	Facility		$288.05	$288.05	$504.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $401.62 / $423.56	Professional		$289.39	$401.62	$423.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00