Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.55 / $83.38 / $108.80	Facility		$65.55	$83.38	$108.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $98.15 / $125.00	Professional		$40.26	$98.15	$125.00
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 $49.09 / $96.58 / $96.58	Professional		$49.09	$96.58	$96.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $65.55 / $84.01 / $106.50	Facility		$65.55	$84.01	$106.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $98.16 / $123.68	Professional		$64.59	$98.16	$123.68
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