Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $118.60 / $118.61	Facility		$80.98	$118.60	$118.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $118.61 / $152.28	Professional		$118.61	$118.61	$152.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.09	Facility		$0.02	$0.05	$0.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $118.60 / $118.61	Facility		$69.52	$118.60	$118.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $118.61 / $143.00	Professional		$118.61	$118.61	$143.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00