Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.77 / $104.77 / $104.77	Facility		$104.77	$104.77	$104.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $104.77 / $104.77	Professional		$101.72	$104.77	$104.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $6.07 / $35.71	Facility		$6.07	$6.07	$35.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $33.92 / $48.21	Professional		$6.07	$33.92	$48.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.55 / $101.72 / $129.54	Professional		$80.55	$101.72	$129.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $104.77 / $195.80	Facility		$101.72	$104.77	$195.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $122.06	Professional		$101.72	$101.72	$122.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $125.90 / $153.27	Professional		$100.72	$125.90	$153.27
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $109.63	Professional		$101.72	$101.72	$109.63