Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $97.80 / $106.31	Professional		$54.74	$97.80	$106.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $129.72 / $129.72	Facility		$129.72	$129.72	$129.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.24 / $136.22 / $175.14	Professional		$123.24	$136.22	$175.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $187.97	Professional		$58.28	$58.28	$187.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $98.23 / $115.03	Professional		$85.53	$98.23	$115.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $60.57 / $77.98	Professional		$47.42	$60.57	$77.98