Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.83 / $98.83 / $123.54	Facility		$98.83	$98.83	$123.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $91.86 / $109.39	Professional		$69.98	$91.86	$109.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $3.65 / $6.50	Facility		$2.57	$3.65	$6.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.54 / $3.06	Professional		$2.33	$2.54	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $62.42 / $161.38	Professional		$37.82	$62.42	$161.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.28 / $98.83 / $181.60	Facility		$75.28	$98.83	$181.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $88.95 / $136.16	Professional		$75.20	$88.95	$136.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $51.08 / $75.02	Professional		$32.92	$51.08	$75.02