Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $78.06 / $78.06	Facility		$78.06	$78.06	$78.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $78.06 / $78.06	Professional		$75.79	$78.06	$78.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $13.13 / $13.13	Facility		$4.09	$13.13	$13.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $73.36 / $88.80	Professional		$13.13	$73.36	$88.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $92.54	Professional		$75.79	$75.79	$92.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $78.06	Facility		$75.79	$75.79	$78.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $102.31	Professional		$75.79	$75.79	$102.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $107.25 / $124.77	Professional		$75.79	$107.25	$124.77
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $81.69	Professional		$75.79	$75.79	$81.69