Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $5.81 / $839.66	Facility		$5.81	$5.81	$839.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $247.85	Professional		$5.81	$5.81	$247.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.24 / $654.24 / $654.24	Facility		$654.24	$654.24	$654.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.53 / $699.72 / $817.80	Professional		$621.53	$699.72	$817.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $171.28 / $282.61	Professional		$127.78	$171.28	$282.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $726.78 / $839.66	Facility		$5.81	$726.78	$839.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $624.99	Professional		$5.81	$5.81	$624.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00