Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $89.39 / $136.69	Facility		$70.38	$89.39	$136.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $70.38 / $129.03	Professional		$70.37	$70.38	$129.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.38 / $157.83 / $298.57	Facility		$85.38	$157.83	$298.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $68.59 / $72.20	Professional		$68.59	$68.59	$72.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $80.88 / $95.04	Professional		$67.06	$80.88	$95.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $89.39 / $137.19	Facility		$70.38	$89.39	$137.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $70.38 / $118.00	Professional		$70.37	$70.38	$118.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $80.93	Professional		$80.93	$80.93	$80.93
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $86.54 / $89.30	Professional		$72.23	$86.54	$89.30