Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $58.97 / $83.56	Facility		$56.79	$58.97	$83.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $58.97 / $87.73	Professional		$43.39	$58.97	$87.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $68.80 / $160.84	Facility		$48.10	$68.80	$160.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $66.73 / $108.11	Professional		$11.34	$66.73	$108.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $65.58 / $115.76	Professional		$43.24	$65.58	$115.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $64.94 / $80.47	Facility		$56.79	$64.94	$80.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $65.26 / $105.77	Professional		$56.79	$65.26	$105.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $68.01 / $96.85	Professional		$54.68	$68.01	$96.85
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $1,155.00 / $1,844.00	Facility		$125.00	$1,155.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $76.22 / $104.26	Professional		$64.94	$76.22	$104.26