Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.52 / $171.52 / $171.52	Facility		$171.52	$171.52	$171.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $171.52 / $182.24	Professional		$171.52	$171.52	$182.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.46 / $377.16 / $743.36	Facility		$213.46	$377.16	$743.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Professional		$182.24	$182.24	$182.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $171.52 / $214.40 / $235.84	Facility		$171.52	$214.40	$235.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $214.40 / $257.27	Professional		$171.52	$214.40	$257.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00