Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $83.49 / $130.24	Facility		$83.49	$83.49	$130.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $83.49 / $83.49	Professional		$72.06	$83.49	$83.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $98.51 / $174.59	Facility		$68.70	$98.51	$174.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $65.91 / $88.98	Professional		$44.82	$65.91	$88.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $101.19 / $126.48	Professional		$49.52	$101.19	$126.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $83.49 / $153.41	Facility		$79.31	$83.49	$153.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $85.76 / $105.46	Professional		$79.31	$85.76	$105.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $72.76 / $98.22	Professional		$65.48	$72.76	$98.22
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $53.02 / $56.24	Professional		$36.90	$53.02	$56.24