Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $78.51 / $78.51	Facility		$78.51	$78.51	$78.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $78.51 / $82.95	Professional		$48.25	$78.51	$82.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.92 / $166.16 / $292.56	Facility		$92.92	$166.16	$292.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $110.78 / $230.42	Professional		$57.77	$110.78	$230.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $77.55 / $77.55	Facility		$77.55	$77.55	$77.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $107.64 / $177.36	Professional		$58.17	$107.64	$177.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $53.41 / $68.29 / $78.51	Facility		$53.41	$68.29	$78.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $77.84 / $114.41	Professional		$67.30	$77.84	$114.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $50.69 / $80.42	Professional		$28.58	$50.69	$80.42
United Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $230.13 / $230.13	Facility		$230.13	$230.13	$230.13
United Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $89.89 / $150.97	Professional		$68.92	$89.89	$150.97