Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $973.77	Facility		$973.77	$973.77	$973.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $1,194.00	Professional		$973.77	$973.77	$1,194.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,203.31 / $4,268.30 / $8,246.70	Facility		$2,203.31	$4,268.30	$8,246.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,410.16 / $1,558.60 / $1,855.48	Professional		$1,410.16	$1,558.60	$1,855.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $39.60	Professional		$39.60	$39.60	$39.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $1,837.68 / $1,837.68	Facility		$973.77	$1,837.68	$1,837.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $1,837.68 / $2,250.21	Professional		$973.77	$1,837.68	$2,250.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00