Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $97.03 / $97.03	Facility		$97.03	$97.03	$97.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $97.03 / $97.03	Professional		$55.11	$97.03	$97.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.13 / $169.36 / $304.31	Facility		$92.13	$169.36	$304.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $125.50 / $279.18	Professional		$46.31	$125.50	$279.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $95.82 / $95.82	Facility		$95.82	$95.82	$95.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $101.28 / $217.10	Professional		$65.34	$101.28	$217.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $60.88 / $102.10	Facility		$60.08	$60.88	$102.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $81.40 / $124.54	Professional		$60.88	$81.40	$124.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $77.58 / $119.35	Professional		$35.83	$77.58	$119.35
United Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $84.81 / $115.35	Professional		$66.95	$84.81	$115.35