Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $115.86 / $153.82	Professional		$86.10	$115.86	$153.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.21 / $143.21 / $143.21	Facility		$143.21	$143.21	$143.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $150.37 / $193.33	Professional		$136.05	$150.37	$193.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $207.66	Professional		$68.73	$68.73	$207.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $115.86 / $153.82	Professional		$86.36	$115.86	$153.82
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 $55.94 / $67.25 / $90.91	Professional		$55.94	$67.25	$90.91