Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $140.40	Facility		$90.00	$90.00	$140.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $196.38	Professional		$90.00	$90.00	$196.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.86 / $108.11 / $188.23	Facility		$76.86	$108.11	$188.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $71.06 / $76.03	Professional		$67.51	$71.06	$76.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $75.34 / $131.86	Professional		$46.73	$75.34	$131.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $165.38	Facility		$90.00	$90.00	$165.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $117.74 / $157.50	Professional		$90.00	$117.74	$157.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $86.29 / $105.90	Professional		$78.45	$86.29	$105.90
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $56.84 / $125.25	Professional		$39.79	$56.84	$125.25