Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $83.79 / $130.71	Facility		$83.79	$83.79	$130.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $83.79 / $83.79	Professional		$75.84	$83.79	$83.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.15 / $66.15 / $66.15	Facility		$66.15	$66.15	$66.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $66.15 / $70.78	Professional		$62.84	$66.15	$70.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $88.20 / $198.45	Professional		$40.29	$88.20	$198.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $83.79 / $153.96	Facility		$83.79	$83.79	$153.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $100.31 / $116.35	Professional		$83.79	$100.31	$116.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $52.92 / $88.20	Professional		$37.04	$52.92	$88.20