Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.88 / $100.88 / $100.88	Facility		$100.88	$100.88	$100.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $100.88 / $100.88	Professional		$97.94	$100.88	$100.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.38 / $173.58 / $345.98	Facility		$112.38	$173.58	$345.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $101.02 / $131.13	Professional		$92.27	$101.02	$131.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $97.94 / $124.73	Professional		$93.09	$97.94	$124.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $100.88 / $206.40	Facility		$97.94	$100.88	$206.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $122.42	Professional		$97.94	$97.94	$122.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $124.10 / $176.29	Professional		$97.94	$124.10	$176.29
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $105.56	Professional		$97.94	$97.94	$105.56