Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.25 / $1,077.60 / $1,339.85	Facility		$855.25	$1,077.60	$1,339.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.25 / $855.25 / $916.34	Professional		$855.25	$855.25	$916.34
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
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $855.25 / $1,077.60 / $1,339.85	Facility		$855.25	$1,077.60	$1,339.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $855.25 / $855.25 / $916.34	Professional		$855.25	$855.25	$916.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00