Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $75.84 / $75.84	Facility		$74.45	$75.84	$75.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $75.84 / $75.84	Professional		$74.45	$75.84	$75.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.24 / $385.33 / $734.22	Facility		$205.24	$385.33	$734.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $180.00	Professional		$171.00	$171.00	$180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $83.29 / $83.29	Professional		$48.05	$83.29	$83.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $78.83 / $89.24	Facility		$74.45	$78.83	$89.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $78.83 / $94.59	Professional		$74.45	$78.83	$94.59
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 $74.37 / $89.24 / $94.67	Professional		$74.37	$89.24	$94.67