Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.96 / $124.96 / $124.96	Facility		$124.96	$124.96	$124.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.22 / $124.96 / $139.38	Professional		$113.22	$124.96	$139.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.71 / $160.71 / $160.71	Facility		$160.71	$160.71	$160.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $244.27 / $347.13	Professional		$51.43	$244.27	$347.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.03 / $190.33 / $209.86	Professional		$139.03	$190.33	$209.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $124.96 / $124.96 / $124.96	Facility		$124.96	$124.96	$124.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $124.96 / $157.44	Professional		$117.25	$124.96	$157.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $318.30 / $318.30	Professional		$30.00	$318.30	$318.30