Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $52.48 / $63.64	Professional		$34.92	$52.48	$63.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.09 / $272.12 / $482.29	Facility		$198.09	$272.12	$482.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $52.48 / $59.51	Professional		$5.46	$52.48	$59.51
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 $60.55 / $60.55 / $65.26	Professional		$60.55	$60.55	$65.26