Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $158.12 / $164.21	Facility		$121.63	$158.12	$164.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.51 / $134.78 / $181.21	Professional		$120.51	$134.78	$181.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $176.87 / $334.50	Facility		$107.92	$176.87	$334.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $303.29 / $363.38	Professional		$33.15	$303.29	$363.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $158.12 / $158.12 / $164.21	Facility		$158.12	$158.12	$164.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $144.62 / $167.28	Professional		$121.63	$144.62	$167.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00