Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $87.08 / $135.85	Facility		$87.08	$87.08	$135.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $87.08 / $87.08	Professional		$78.83	$87.08	$87.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.01 / $103.69 / $182.11	Facility		$72.01	$103.69	$182.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $68.75 / $73.56	Professional		$65.31	$68.75	$73.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $111.51 / $206.24	Professional		$59.58	$111.51	$206.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $87.08 / $160.01	Facility		$87.08	$87.08	$160.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $106.47 / $121.09	Professional		$87.08	$106.47	$121.09
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 $38.50 / $55.00 / $113.17	Professional		$38.50	$55.00	$113.17