Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $134.54 / $279.83	Facility		$89.69	$134.54	$279.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $89.69 / $141.61	Professional		$80.56	$89.69	$141.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $105.48 / $187.57	Facility		$76.59	$105.48	$187.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $70.81 / $84.97	Professional		$67.27	$70.81	$84.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $94.41 / $115.63	Professional		$81.97	$94.41	$115.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $134.54 / $755.28	Facility		$72.50	$134.54	$755.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $89.69 / $134.54	Professional		$72.50	$89.69	$134.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $78.17 / $97.71	Professional		$78.17	$78.17	$97.71
United Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $55.55 / $93.09	Professional		$39.65	$55.55	$93.09