Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.71 / $525.71 / $827.99	Facility		$525.71	$525.71	$827.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.51 / $657.14 / $823.33	Professional		$634.51	$657.14	$823.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.88 / $1,884.32 / $3,339.60	Facility		$1,260.88	$1,884.32	$3,339.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,197.71 / $1,260.75 / $1,702.01	Professional		$1,197.71	$1,260.75	$1,702.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $416.30 / $520.38	Professional		$416.30	$416.30	$520.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $525.71 / $525.71 / $1,124.33	Facility		$525.71	$525.71	$1,124.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $657.14 / $1,124.33 / $1,376.73	Professional		$657.14	$1,124.33	$1,376.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00