Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.15 / $81.83 / $81.83	Facility		$81.15	$81.83	$81.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $79.40 / $81.83	Professional		$55.66	$79.40	$81.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $80.27 / $185.44	Facility		$58.07	$80.27	$185.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $59.25 / $110.31	Professional		$20.62	$59.25	$110.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $72.39 / $139.49	Professional		$60.62	$72.39	$139.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.02 / $73.02 / $81.83	Facility		$73.02	$73.02	$81.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $78.79 / $101.58	Professional		$73.02	$78.79	$101.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $46.76 / $80.78	Professional		$28.70	$46.76	$80.78
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 $75.15 / $88.03 / $114.94	Professional		$75.15	$88.03	$114.94