Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.29 / $94.29 / $94.29	Facility		$94.29	$94.29	$94.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $94.29 / $94.29	Professional		$91.54	$94.29	$94.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $46.75 / $46.75	Facility		$46.75	$46.75	$46.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $48.62 / $60.78	Professional		$44.41	$48.62	$60.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $91.54 / $91.54	Professional		$65.88	$91.54	$91.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $94.29 / $155.19	Facility		$91.54	$94.29	$155.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $109.84	Professional		$91.54	$91.54	$109.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $100.69 / $137.31	Professional		$30.00	$100.69	$137.31
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $98.66	Professional		$91.54	$91.54	$98.66