Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.47 / $1,032.19 / $2,447.85	Facility		$836.47	$1,032.19	$2,447.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.47 / $836.47 / $1,032.19	Professional		$836.47	$836.47	$1,032.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.14 / $1,650.79 / $3,189.46	Facility		$852.14	$1,650.79	$3,189.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.65 / $576.57 / $686.39	Professional		$521.65	$576.57	$686.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.74 / $360.74 / $684.89	Professional		$360.74	$360.74	$684.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $836.47 / $1,298.54 / $4,292.03	Facility		$836.47	$1,298.54	$4,292.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $836.47 / $836.47 / $1,032.19	Professional		$836.47	$836.47	$1,032.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00