Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Facility		$144.00	$144.00	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $153.00	Professional		$144.00	$144.00	$153.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Facility		$144.00	$144.00	$144.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $153.00	Professional		$144.00	$144.00	$153.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $100.00	Professional		$30.00	$55.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $190.98	Professional		$180.00	$180.00	$190.98