Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $261.80 / $261.80	Facility		$261.80	$261.80	$261.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $261.80 / $4,923.67	Professional		$261.80	$261.80	$4,923.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.70 / $4,416.76 / $9,045.98	Facility		$164.70	$4,416.76	$9,045.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.46 / $172.94 / $205.88	Professional		$156.46	$172.94	$205.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $261.80 / $261.80	Facility		$261.80	$261.80	$261.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $261.80 / $3,300.77	Professional		$261.80	$261.80	$3,300.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00