Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.89 / $1,313.89 / $2,181.65	Facility		$531.89	$1,313.89	$2,181.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.89 / $531.89 / $897.01	Professional		$531.89	$531.89	$897.01
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 $558.48 / $1,545.39 / $2,181.65	Facility		$558.48	$1,545.39	$2,181.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $531.89 / $531.89 / $897.01	Professional		$531.89	$531.89	$897.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00