Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.89 / $66.56 / $87.66	Facility		$63.89	$66.56	$87.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $77.34 / $118.61	Professional		$63.50	$77.34	$118.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.22 / $137.31 / $259.74	Facility		$76.22	$137.31	$259.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $59.68 / $62.82	Professional		$59.68	$59.68	$62.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $70.36 / $70.36	Professional		$58.87	$70.36	$70.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $63.89 / $66.56 / $74.79	Facility		$63.89	$66.56	$74.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $69.09 / $108.97	Professional		$64.70	$69.09	$108.97
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 $63.70 / $76.44 / $91.90	Professional		$63.70	$76.44	$91.90