Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $78.84 / $137.99	Facility		$78.84	$78.84	$137.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $78.84 / $78.84	Professional		$71.38	$78.84	$78.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $92.73 / $164.89	Facility		$65.20	$92.73	$164.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $62.25 / $66.61	Professional		$59.14	$62.25	$66.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $83.00 / $186.75	Professional		$37.97	$83.00	$186.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $78.84 / $144.88	Facility		$13.85	$78.84	$144.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $78.84 / $99.60	Professional		$13.85	$78.84	$99.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $49.16 / $83.50	Professional		$34.86	$49.16	$83.50