Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $29.74 / $29.74	Facility		$29.74	$29.74	$29.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $29.74 / $37.17	Professional		$29.74	$29.74	$37.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.99 / $363.68 / $691.24	Facility		$174.99	$363.68	$691.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $125.42 / $162.81	Professional		$114.57	$125.42	$162.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.85 / $872.98 / $872.98	Professional		$246.85	$872.98	$872.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $29.74 / $29.74	Facility		$29.74	$29.74	$29.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $29.74 / $37.17	Professional		$29.74	$29.74	$37.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00