Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Facility		$58.28	$58.28	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $99.45	Professional		$58.28	$58.28	$99.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $381.66 / $737.41	Facility		$197.02	$381.66	$737.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $133.30 / $158.69	Professional		$120.60	$133.30	$158.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $39.60	Professional		$39.60	$39.60	$39.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $168.64 / $168.64	Facility		$58.28	$168.64	$168.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $168.64 / $206.49	Professional		$58.28	$168.64	$206.49
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 $137.36 / $137.36 / $137.36	Professional		$137.36	$137.36	$137.36