Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.10 / $1,201.50 / $3,975.55	Facility		$258.10	$1,201.50	$3,975.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $60.88 / $839.50	Professional		$35.74	$60.88	$839.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $115.93 / $222.44	Facility		$61.30	$115.93	$222.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $45.06 / $45.06	Professional		$45.06	$45.06	$45.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $249.86 / $1,054.69 / $3,907.01	Facility		$249.86	$1,054.69	$3,907.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $60.88 / $249.86	Professional		$53.07	$60.88	$249.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00