Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.04 / $846.68 / $1,564.80	Facility		$686.04	$846.68	$1,564.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.58 / $1,145.06 / $1,145.06	Professional		$1,033.58	$1,145.06	$1,145.06
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 $520.86 / $520.86 / $520.86	Professional		$520.86	$520.86	$520.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $686.04 / $1,145.05 / $1,621.30	Facility		$686.04	$1,145.05	$1,621.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,082.00 / $1,145.06 / $1,145.06	Professional		$1,082.00	$1,145.06	$1,145.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00