Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.87 / $239.87 / $299.83	Facility		$239.87	$239.87	$299.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $299.83 / $345.58	Professional		$299.83	$299.83	$345.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $27.48 / $48.26	Facility		$18.98	$27.48	$48.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $18.22 / $24.60	Professional		$17.30	$18.22	$24.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $109.45 / $136.81	Professional		$109.45	$109.45	$136.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $239.87 / $299.83	Facility		$16.25	$239.87	$299.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $16.57 / $299.83	Professional		$16.25	$16.57	$299.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00