Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.82 / $104.02 / $164.24	Facility		$98.82	$104.02	$164.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $89.78 / $130.03	Professional		$89.78	$89.78	$130.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.60 / $122.74 / $217.53	Facility		$85.60	$122.74	$217.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $82.12 / $110.86	Professional		$55.84	$82.12	$110.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $125.55 / $156.94	Professional		$61.75	$125.55	$156.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $104.02 / $191.14	Facility		$53.98	$104.02	$191.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $61.80 / $131.38	Professional		$53.98	$61.80	$131.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $90.66 / $122.39	Professional		$30.00	$90.66	$122.39
United Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $34.85 / $65.69	Professional		$24.39	$34.85	$65.69