Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.86 / $76.18 / $76.18	Facility		$67.86	$76.18	$76.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $76.18 / $113.35	Professional		$62.16	$76.18	$113.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.84 / $139.63 / $248.31	Facility		$100.84	$139.63	$248.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $97.49 / $118.32	Professional		$10.96	$97.49	$118.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $105.22 / $149.71	Professional		$66.38	$105.22	$149.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $61.01 / $76.18	Facility		$61.01	$61.01	$76.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $70.48 / $101.43	Professional		$61.01	$70.48	$101.43
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 Professional Modifier Low / Median / High Price $68.23 / $78.31 / $100.86	Professional		$68.23	$78.31	$100.86