Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $90.00 / $90.00	Professional		$54.00	$90.00	$90.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.52 / $258.80 / $491.89	Facility		$124.52	$258.80	$491.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $89.25 / $111.57	Professional		$81.53	$89.25	$111.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $90.80 / $632.80	Professional		$90.80	$90.80	$632.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $90.00	Facility		$36.31	$36.31	$90.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.75 / $90.00	Professional		$36.31	$41.75	$90.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00