Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $76.44 / $119.25	Facility		$76.44	$76.44	$119.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $76.44 / $76.44	Professional		$65.98	$76.44	$76.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.91 / $91.02 / $159.86	Facility		$62.91	$91.02	$159.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $60.35 / $81.47	Professional		$41.04	$60.35	$81.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $92.51 / $115.64	Professional		$6.62	$92.51	$115.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $76.44 / $140.46	Facility		$11.47	$76.44	$140.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $68.79 / $96.55	Professional		$11.47	$68.79	$96.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $66.62 / $89.93	Professional		$59.95	$66.62	$89.93
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.40 / $48.28	Professional		$5.28	$7.40	$48.28