Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $80.06 / $80.06	Facility		$80.06	$80.06	$80.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $90.65	Professional		$80.06	$80.06	$90.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.73 / $414.05 / $799.97	Facility		$213.73	$414.05	$799.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $144.62 / $172.16	Professional		$130.84	$144.62	$172.16
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 $78.56 / $78.56 / $80.06	Facility		$78.56	$78.56	$80.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $80.06 / $96.19	Professional		$78.56	$80.06	$96.19
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 Facility Modifier Low / Median / High Price $117.84 / $117.84 / $117.84	Facility		$117.84	$117.84	$117.84
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29