Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.88 / $552.15 / $962.75	Facility		$329.88	$552.15	$962.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.18 / $314.18 / $450.36	Professional		$314.18	$314.18	$450.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.48 / $661.83 / $1,644.16	Facility		$431.48	$661.83	$1,644.16
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 $52.02 / $52.02 / $52.02	Professional		$52.02	$52.02	$52.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $329.88 / $552.15 / $931.39	Facility		$329.88	$552.15	$931.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $314.18 / $314.18 / $450.36	Professional		$314.18	$314.18	$450.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00