Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $79.33 / $79.33	Facility		$68.06	$79.33	$79.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $79.33 / $79.33	Professional		$61.67	$79.33	$79.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.56 / $147.56 / $262.39	Facility		$106.56	$147.56	$262.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $101.24 / $127.88	Professional		$13.94	$101.24	$127.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $112.83 / $203.84	Professional		$70.12	$112.83	$203.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $70.15 / $79.33	Facility		$68.06	$70.15	$79.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $76.75 / $122.43	Professional		$70.15	$76.75	$122.43
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 Facility Modifier Low / Median / High Price $377.12 / $377.12 / $377.12	Facility		$377.12	$377.12	$377.12
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $83.91 / $112.34	Professional		$73.09	$83.91	$112.34