Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $212.34 / $212.34	Professional		$212.34	$212.34	$212.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.10 / $379.89 / $733.99	Facility		$196.10	$379.89	$733.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $132.69 / $157.96	Professional		$120.05	$132.69	$157.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $86.72 / $86.72	Professional		$86.72	$86.72	$86.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $212.34 / $443.00	Professional		$212.34	$212.34	$443.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $55.00	Professional		$30.00	$55.00	$55.00