Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $98.16 / $98.16	Facility		$42.76	$98.16	$98.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $98.15 / $117.79	Professional		$50.00	$98.15	$117.79
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 $40.54 / $96.58 / $96.58	Professional		$40.54	$96.58	$96.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $98.16 / $103.33	Facility		$60.92	$98.16	$103.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $98.16 / $117.79	Professional		$80.52	$98.16	$117.79
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 $98.16 / $104.15 / $121.36	Professional		$98.16	$104.15	$121.36