Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $242.71 / $242.71	Facility		$242.71	$242.71	$242.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $242.71 / $311.20	Professional		$242.71	$242.71	$311.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.09 / $521.09 / $521.09	Facility		$521.09	$521.09	$521.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.04 / $547.14 / $651.36	Professional		$495.04	$547.14	$651.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $135.93 / $135.93 / $242.71	Facility		$135.93	$135.93	$242.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $135.93 / $156.31 / $242.71	Professional		$135.93	$156.31	$242.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00