Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.67 / $90.74 / $141.55	Facility		$81.67	$90.74	$141.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $90.74 / $90.74	Professional		$78.33	$90.74	$90.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.68 / $108.05 / $189.77	Facility		$74.68	$108.05	$189.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $71.64 / $96.71	Professional		$48.72	$71.64	$96.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $109.86 / $140.63	Professional		$62.08	$109.86	$140.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $90.74 / $166.74	Facility		$85.10	$90.74	$166.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $104.33 / $116.84	Professional		$81.19	$104.33	$116.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $79.09 / $106.77	Professional		$71.18	$79.09	$106.77
United Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $95.52 / $95.52	Facility		$47.76	$95.52	$95.52
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $66.09 / $70.06	Professional		$40.11	$66.09	$70.06