Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $84.49 / $84.49	Facility		$84.49	$84.49	$84.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $92.93	Professional		$84.48	$84.49	$92.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.72 / $284.14 / $537.51	Facility		$157.72	$284.14	$537.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $123.50 / $130.00	Professional		$123.50	$123.50	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $92.77 / $93.86	Professional		$77.03	$92.77	$93.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $87.80 / $99.40	Facility		$84.49	$87.80	$99.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $87.80 / $105.36	Professional		$84.48	$87.80	$105.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.04 / $125.04 / $125.04	Professional		$125.04	$125.04	$125.04
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $99.40 / $130.53	Professional		$82.83	$99.40	$130.53