Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.41 / $791.41 / $791.41	Facility		$791.41	$791.41	$791.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.41 / $791.41 / $791.41	Professional		$791.41	$791.41	$791.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.55 / $1,464.14 / $3,637.28	Facility		$954.55	$1,464.14	$3,637.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.26 / $271.26 / $271.26	Professional		$271.26	$271.26	$271.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $791.41 / $791.41 / $791.41	Facility		$791.41	$791.41	$791.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $791.41 / $791.41 / $791.41	Professional		$791.41	$791.41	$791.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00