Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.52 / $130.52 / $130.52	Facility		$130.52	$130.52	$130.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $130.52 / $158.91	Professional		$101.01	$130.52	$158.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.52 / $130.52 / $130.52	Facility		$130.52	$130.52	$130.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $130.52 / $165.83	Professional		$105.60	$130.52	$165.83
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 $342.87 / $342.87 / $363.79	Professional		$342.87	$342.87	$363.79