Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.10 / $242.10 / $242.10	Facility		$242.10	$242.10	$242.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.60 / $242.10 / $385.79	Professional		$206.60	$242.10	$385.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.46 / $174.46 / $1,531.83	Facility		$174.46	$174.46	$1,531.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.74 / $183.18 / $235.52	Professional		$165.74	$183.18	$235.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $106.20 / $106.20	Professional		$106.20	$106.20	$106.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $242.10 / $376.59	Professional		$154.13	$242.10	$376.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00