Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $101.65 / $158.57	Facility		$95.33	$101.65	$158.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $91.49 / $101.65	Professional		$85.60	$91.49	$101.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $71.28 / $75.03	Facility		$71.28	$71.28	$75.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $75.03 / $83.46	Professional		$71.28	$75.03	$83.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $130.51 / $240.75	Professional		$62.60	$130.51	$240.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $101.65 / $101.65 / $186.78	Facility		$101.65	$101.65	$186.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $102.72 / $128.40	Professional		$102.72	$102.72	$128.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $64.20 / $107.00	Professional		$44.94	$64.20	$107.00