Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.50 / $81.50 / $81.50	Facility		$81.50	$81.50	$81.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $81.50 / $111.83	Professional		$63.07	$81.50	$111.83
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 $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.50 / $81.50 / $81.50	Facility		$81.50	$81.50	$81.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $81.50 / $111.83	Professional		$69.36	$81.50	$111.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.66 / $1,438.66 / $1,526.42	Professional		$1,438.66	$1,438.66	$1,526.42