Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.16 / $202.16 / $315.43	Facility		$202.16	$202.16	$315.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.43 / $315.43 / $455.00	Professional		$315.43	$315.43	$455.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $27.48 / $48.26	Facility		$18.98	$27.48	$48.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $18.22 / $24.60	Professional		$17.30	$18.22	$24.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $3.10	Professional		$2.48	$2.48	$3.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $129.36 / $202.16 / $315.43	Facility		$129.36	$202.16	$315.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $137.50 / $315.43	Professional		$129.36	$137.50	$315.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00