Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $85.03 / $85.03	Facility		$85.03	$85.03	$85.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $85.03 / $197.44	Professional		$85.03	$85.03	$197.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.22 / $213.52 / $412.53	Facility		$110.22	$213.52	$412.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.47 / $74.56 / $88.77	Professional		$67.47	$74.56	$88.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $660.00	Professional		$660.00	$660.00	$660.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $115.35 / $115.35	Facility		$85.03	$115.35	$115.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $115.35 / $158.88	Professional		$85.03	$115.35	$158.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $44.64 / $89.89	Professional		$44.64	$44.64	$89.89