Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.05 / $101.05 / $101.05	Facility		$101.05	$101.05	$101.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $101.05 / $101.05	Professional		$98.11	$101.05	$101.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.08 / $67.08 / $67.08	Facility		$67.08	$67.08	$67.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $69.76 / $90.56	Professional		$63.73	$69.76	$90.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $215.56	Professional		$98.11	$98.11	$215.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $101.05 / $230.75	Facility		$98.11	$101.05	$230.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $122.63	Professional		$98.11	$98.11	$122.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $141.38 / $150.60	Professional		$30.00	$141.38	$150.60
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $107.23	Professional		$98.11	$98.11	$107.23