Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $73.70 / $130.76	Facility		$36.53	$73.70	$130.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $98.15 / $141.94	Professional		$83.49	$98.15	$141.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.96 / $188.47 / $356.54	Facility		$101.96	$188.47	$356.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $86.23	Professional		$81.92	$81.92	$86.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $96.58 / $96.58	Professional		$59.53	$96.58	$96.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $98.15 / $103.33	Facility		$36.53	$98.15	$103.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $98.16 / $129.57	Professional		$83.49	$98.16	$129.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $96.01 / $112.88	Professional		$96.01	$96.01	$112.88
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $103.33 / $106.61	Professional		$86.23	$103.33	$106.61