Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $122.36 / $296.64	Facility		$30.53	$122.36	$296.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $30.54 / $72.98	Professional		$30.54	$30.54	$72.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.81 / $111.32 / $203.70	Facility		$38.81	$111.32	$203.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $40.75 / $52.39	Professional		$35.28	$40.75	$52.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $122.36 / $442.92	Facility		$30.53	$122.36	$442.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $30.54 / $42.00	Professional		$30.54	$30.54	$42.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00