Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.95 / $108.71 / $169.59	Facility		$101.95	$108.71	$169.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $135.88	Professional		$91.54	$91.54	$135.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $76.23 / $80.23	Facility		$76.23	$76.23	$80.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $80.23 / $89.25	Professional		$76.23	$80.23	$89.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $139.59 / $257.47	Professional		$66.94	$139.59	$257.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.66 / $108.71 / $199.76	Facility		$107.66	$108.71	$199.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $107.66 / $137.32	Professional		$107.66	$107.66	$137.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $114.43	Professional		$48.06	$68.66	$114.43