Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.24 / $90.24 / $140.77	Facility		$90.24	$90.24	$140.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.69 / $90.24 / $90.24	Professional		$81.69	$90.24	$90.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $107.44 / $188.71	Facility		$77.05	$107.44	$188.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $71.23 / $76.23	Professional		$67.68	$71.23	$76.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.12 / $213.73	Professional		$38.00	$48.12	$213.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $90.24 / $165.82	Facility		$89.37	$90.24	$165.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $90.24 / $123.36	Professional		$89.37	$90.24	$123.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $86.51 / $106.17	Professional		$78.65	$86.51	$106.17
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $56.99 / $94.99	Professional		$39.90	$56.99	$94.99