Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $37.15 / $37.15	Professional		$19.20	$37.15	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.77 / $731.07 / $1,389.54	Facility		$351.77	$731.07	$1,389.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.31 / $252.13 / $327.27	Professional		$230.31	$252.13	$327.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $238.78	Professional		$19.36	$19.36	$238.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $37.15 / $37.15	Professional		$31.04	$37.15	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00