Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $252.64 / $252.64	Professional		$252.64	$252.64	$252.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.28 / $881.98 / $1,704.05	Facility		$455.28	$881.98	$1,704.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $308.04 / $366.71	Professional		$278.70	$308.04	$366.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $105.40 / $105.40	Professional		$105.40	$105.40	$105.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $252.64 / $527.00	Professional		$252.64	$252.64	$527.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $55.00	Professional		$30.00	$55.00	$55.00