Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $369.68 / $369.68	Facility		$369.68	$369.68	$369.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.68 / $369.68 / $442.97	Professional		$369.68	$369.68	$442.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.30 / $354.79 / $726.64	Facility		$132.30	$354.79	$726.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.69 / $138.91 / $165.38	Professional		$125.69	$138.91	$165.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.96 / $498.96 / $498.96	Professional		$498.96	$498.96	$498.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $369.68 / $369.68	Facility		$369.68	$369.68	$369.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $369.68 / $369.68 / $500.00	Professional		$369.68	$369.68	$500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00