Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.65 / $267.88 / $828.86	Facility		$97.65	$267.88	$828.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $121.70 / $486.84	Professional		$102.14	$121.70	$486.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.96 / $136.96 / $136.96	Facility		$136.96	$136.96	$136.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $136.96 / $164.35	Professional		$130.11	$136.96	$164.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $119.90 / $119.90	Professional		$60.00	$119.90	$119.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $95.24 / $264.52 / $905.58	Facility		$95.24	$264.52	$905.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $121.71 / $486.84	Professional		$102.14	$121.71	$486.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00