Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.91 / $91.87 / $91.87	Facility		$88.91	$91.87	$91.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $88.91 / $91.87	Professional		$55.43	$88.91	$91.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.22 / $93.60 / $93.60	Facility		$92.22	$93.60	$93.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $92.22 / $124.50	Professional		$88.92	$92.22	$124.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $46.50 / $58.13	Professional		$46.50	$46.50	$58.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.69 / $48.59 / $91.87	Facility		$47.69	$48.59	$91.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $49.49 / $91.87	Professional		$47.69	$49.49	$91.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00