Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $45.56 / $101.53	Facility		$32.54	$45.56	$101.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $32.54 / $119.80	Professional		$31.94	$32.54	$119.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $57.76	Facility		$57.76	$57.76	$57.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $82.33 / $91.57	Professional		$57.76	$82.33	$91.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $30.10 / $30.10	Professional		$30.10	$30.10	$30.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $76.88 / $157.31	Facility		$32.54	$76.88	$157.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $157.31 / $183.12	Professional		$32.54	$157.31	$183.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.09 / $168.03 / $230.10	Professional		$131.09	$168.03	$230.10