Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.00 / $628.00 / $628.00	Professional		$628.00	$628.00	$628.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Facility		$104.22	$104.22	$104.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $111.46 / $130.28	Professional		$99.01	$111.46	$130.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.59	Professional		$2.59	$2.59	$2.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $502.00 / $676.00	Professional		$106.19	$502.00	$676.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00