Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.83 / $100.83 / $157.30	Facility		$100.83	$100.83	$157.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $100.83 / $100.83	Professional		$87.03	$100.83	$100.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.99 / $118.99 / $210.88	Facility		$82.99	$118.99	$210.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $79.61 / $107.47	Professional		$54.13	$79.61	$107.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $121.84 / $152.29	Professional		$47.42	$121.84	$152.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $74.18 / $100.83 / $185.28	Facility		$74.18	$100.83	$185.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $100.83 / $127.37	Professional		$74.18	$100.83	$127.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.10 / $87.89 / $118.65	Professional		$79.10	$87.89	$118.65
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $46.72 / $78.41	Professional		$34.17	$46.72	$78.41