Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.16 / $199.16 / $2,100.00	Facility		$199.16	$199.16	$2,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.16 / $199.16 / $1,300.00	Professional		$199.16	$199.16	$1,300.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,973.87 / $1,973.87 / $2,077.73	Facility		$1,973.87	$1,973.87	$2,077.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $1,973.87 / $2,493.29	Professional		$103.90	$1,973.87	$2,493.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $78.98 / $83.14	Professional		$78.98	$78.98	$83.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $199.16 / $199.16 / $2,100.00	Facility		$199.16	$199.16	$2,100.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $199.16 / $199.16 / $1,837.47	Professional		$199.16	$199.16	$1,837.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00