Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.80 / $106.42 / $166.02	Facility		$99.80	$106.42	$166.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.86 / $91.86 / $133.03	Professional		$91.86	$91.86	$133.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $74.63 / $78.56	Facility		$74.63	$74.63	$78.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $78.56 / $106.06	Professional		$74.63	$78.56	$106.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $136.69 / $170.88	Professional		$128.44	$136.69	$170.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $106.42 / $106.42 / $195.55	Facility		$106.42	$106.42	$195.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $107.54 / $134.41	Professional		$107.54	$107.54	$134.41
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 $47.05 / $67.20 / $71.23	Professional		$47.05	$67.20	$71.23