Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $129.66 / $129.66	Facility		$129.66	$129.66	$129.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $129.66 / $137.77	Professional		$129.66	$129.66	$137.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $17.00 / $100.00	Facility		$17.00	$17.00	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $100.00 / $120.00	Professional		$17.00	$100.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $224.20	Professional		$162.08	$162.08	$224.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $162.08 / $162.08	Facility		$129.66	$162.08	$162.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $162.08 / $194.49	Professional		$129.66	$162.08	$194.49
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 $162.08 / $162.08 / $194.50	Professional		$162.08	$162.08	$194.50