Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.37 / $194.37 / $81,431.42	Facility		$194.37	$194.37	$81,431.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $194.37 / $218.66	Professional		$148.91	$194.37	$218.66
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 $216.38 / $216.38 / $216.38	Professional		$216.38	$216.38	$216.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.37 / $194.37 / $81,431.42	Facility		$194.37	$194.37	$81,431.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $194.37 / $247.22	Professional		$154.55	$194.37	$247.22
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 $254.57 / $254.57 / $270.10	Professional		$254.57	$254.57	$270.10