Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.02 / $101.11 / $179.81	Facility		$73.02	$101.11	$179.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $37.18 / $46.48	Professional		$37.18	$37.18	$46.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Facility		$57.50	$57.50	$57.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Professional		$57.50	$57.50	$57.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00