Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.46 / $822.27 / $1,588.70	Facility		$424.46	$822.27	$1,588.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $287.20 / $341.90	Professional		$259.83	$287.20	$341.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $95.78 / $95.78	Professional		$95.78	$95.78	$95.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $76.73 / $132.00	Professional		$76.73	$76.73	$132.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00