Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.88 / $83.88 / $104.85	Facility		$83.88	$83.88	$104.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $83.88 / $83.88	Professional		$82.09	$83.88	$83.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $17.32 / $30.81	Facility		$12.18	$17.32	$30.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.63 / $15.70	Professional		$11.05	$11.63	$15.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $84.25 / $105.32	Professional		$31.72	$84.25	$105.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $83.88 / $154.13	Facility		$64.16	$83.88	$154.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $75.48 / $115.92	Professional		$64.16	$75.48	$115.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $43.35 / $63.93	Professional		$26.31	$43.35	$63.93