Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $193.60 / $193.60	Facility		$193.60	$193.60	$193.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $193.60 / $205.70	Professional		$193.60	$193.60	$205.70
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 $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $193.60 / $193.60	Facility		$193.60	$193.60	$193.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $193.60 / $205.70	Professional		$193.60	$193.60	$205.70
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 $220.00 / $220.00 / $240.46	Professional		$220.00	$220.00	$240.46