Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $64.34 / $116.86	Facility		$61.97	$64.34	$116.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $64.34 / $116.86	Professional		$43.43	$64.34	$116.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.90 / $137.19 / $322.19	Facility		$100.90	$137.19	$322.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $44.35 / $79.89	Professional		$12.70	$44.35	$79.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $68.34 / $134.18	Professional		$38.10	$68.34	$134.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $83.58 / $112.54	Facility		$61.97	$83.58	$112.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $83.58 / $125.09	Professional		$61.97	$83.58	$125.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $102.47 / $146.41	Professional		$81.79	$102.47	$146.41
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $107.13 / $143.43	Professional		$85.46	$107.13	$143.43