Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.64 / $415.64 / $727.37	Facility		$415.64	$415.64	$727.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.67 / $519.54 / $545.52	Professional		$450.67	$519.54	$545.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.02 / $403.54 / $715.20	Facility		$270.02	$403.54	$715.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $270.00 / $364.50	Professional		$256.50	$270.00	$364.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $109.45 / $136.81	Professional		$109.45	$109.45	$136.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $240.79 / $415.64 / $654.63	Facility		$240.79	$415.64	$654.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $240.79 / $276.89 / $519.54	Professional		$240.79	$276.89	$519.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00