Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.45 / $4,933.00 / $4,933.00	Facility		$271.45	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.42 / $271.45 / $271.45	Professional		$232.42	$271.45	$271.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $467.50 / $467.50	Facility		$467.50	$467.50	$467.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.13 / $486.20 / $631.13	Professional		$444.13	$486.20	$631.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.26 / $267.26 / $291.24	Professional		$267.26	$267.26	$291.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $271.45 / $4,933.00 / $4,933.00	Facility		$271.45	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $238.08 / $271.45 / $284.27	Professional		$238.08	$271.45	$284.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00