Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.50 / $69.50 / $336.06	Facility		$69.50	$69.50	$336.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $69.50 / $78.93	Professional		$40.97	$69.50	$78.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.63 / $138.85 / $246.90	Facility		$97.63	$138.85	$246.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $91.51 / $117.65	Professional		$74.08	$91.51	$117.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.26 / $66.26 / $66.26	Facility		$66.26	$66.26	$66.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $99.61 / $250.47	Professional		$48.94	$99.61	$250.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $53.80 / $336.06 / $474.48	Facility		$53.80	$336.06	$474.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $66.06 / $104.25	Professional		$53.80	$66.06	$104.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $33.67 / $44.54	Professional		$27.68	$33.67	$44.54
United Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $79.86 / $207.88	Professional		$58.97	$79.86	$207.88