Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.18 / $110.18 / $110.18	Facility		$110.18	$110.18	$110.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $110.18 / $110.18	Professional		$106.97	$110.18	$110.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $104.67 / $104.67	Facility		$104.67	$104.67	$104.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $108.86 / $141.30	Professional		$99.44	$108.86	$141.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $106.97 / $106.97	Professional		$42.83	$106.97	$106.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.85 / $106.97 / $112.05	Facility		$100.85	$106.97	$112.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $128.36	Professional		$106.97	$106.97	$128.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $56.80 / $160.45	Professional		$30.00	$56.80	$160.45
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $115.29	Professional		$106.97	$106.97	$115.29