Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $105.46 / $105.46	Facility		$105.46	$105.46	$105.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $105.46 / $112.05	Professional		$105.46	$105.46	$112.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.32 / $214.37 / $422.50	Facility		$121.32	$214.37	$422.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Professional		$112.05	$112.05	$112.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $87.06 / $87.94 / $105.46	Facility		$87.06	$87.94	$105.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $87.94 / $108.09	Professional		$87.94	$87.94	$108.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00