Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Facility		$157.00	$157.00	$157.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $335.28	Professional		$157.00	$157.00	$335.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $61.07 / $116.07	Facility		$29.38	$61.07	$116.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $21.06 / $27.34	Professional		$19.23	$21.06	$27.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $37.46	Professional		$24.99	$24.99	$37.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Facility		$157.00	$157.00	$157.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Professional		$157.00	$157.00	$157.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00