Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $75.00 / $75.00	Professional		$45.00	$75.00	$75.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.94 / $434.25 / $825.36	Facility		$208.94	$434.25	$825.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $149.76 / $187.20	Professional		$136.80	$149.76	$187.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $98.27	Professional		$98.27	$98.27	$98.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00