Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $107.62 / $109.41	Professional		$98.13	$107.62	$109.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $50.49 / $157.78	Facility		$50.49	$50.49	$157.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $252.45 / $340.81	Professional		$60.59	$252.45	$340.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $125.03	Professional		$114.54	$114.54	$125.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $108.39 / $113.80	Professional		$98.92	$108.39	$113.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $281.39 / $281.39	Professional		$30.00	$281.39	$281.39