Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $77.34 / $77.34	Facility		$68.06	$77.34	$77.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $77.34 / $77.34	Professional		$60.14	$77.34	$77.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.14 / $147.56 / $262.39	Facility		$107.14	$147.56	$262.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $104.07 / $124.88	Professional		$11.45	$104.07	$124.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $109.91 / $208.74	Professional		$68.42	$109.91	$208.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $67.77 / $77.34	Facility		$67.77	$67.77	$77.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $74.88 / $121.08	Professional		$67.77	$74.88	$121.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $64.69 / $85.48	Professional		$53.61	$64.69	$85.48
United Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $75.98 / $112.00	Professional		$61.05	$75.98	$112.00