Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $157.50 / $207.66	Facility		$150.00	$157.50	$207.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $230.34	Professional		$38.00	$52.00	$230.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.55 / $261.41 / $510.79	Facility		$124.55	$261.41	$510.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $93.00 / $116.25	Professional		$83.70	$93.00	$116.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $130.00 / $230.99	Professional		$80.00	$130.00	$230.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $156.00 / $157.50 / $207.66	Facility		$156.00	$157.50	$207.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $164.00 / $230.34	Professional		$52.00	$164.00	$230.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $82.00	Professional		$82.00	$82.00	$82.00