Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $105.33 / $131.66	Facility		$105.33	$105.33	$131.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.54 / $88.94 / $158.16	Facility		$62.54	$88.94	$158.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $59.71 / $80.61	Professional		$40.60	$59.71	$80.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $105.33 / $131.65	Professional		$91.48	$105.33	$131.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $105.33 / $193.54	Facility		$79.61	$105.33	$193.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $89.16 / $107.47	Professional		$79.61	$89.16	$107.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $98.88 / $98.88	Professional		$88.99	$98.88	$98.88
United Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $57.85 / $69.98	Professional		$35.82	$57.85	$69.98