Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.06 / $104.06 / $1,628.42	Facility		$104.06	$104.06	$1,628.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $104.06 / $111.13	Professional		$101.03	$104.06	$111.13
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 $76.43 / $83.67 / $104.59	Professional		$76.43	$83.67	$104.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $128.66	Professional		$101.03	$101.03	$128.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $104.06 / $1,628.42	Facility		$101.03	$104.06	$1,628.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $126.28	Professional		$101.03	$101.03	$126.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $116.00 / $177.37	Professional		$98.54	$116.00	$177.37
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $108.89	Professional		$101.03	$101.03	$108.89