Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $97.14 / $303.08	Facility		$97.14	$97.14	$303.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $97.14 / $97.14	Professional		$97.14	$97.14	$97.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $100.32 / $100.32	Facility		$100.32	$100.32	$100.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $100.32 / $100.32	Professional		$95.30	$100.32	$100.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $126.59 / $270.29	Facility		$97.14	$126.59	$270.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $107.26 / $128.71	Professional		$97.14	$107.26	$128.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $107.36	Professional		$101.19	$101.19	$107.36