Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.68 / $85.68 / $99.75	Facility		$85.68	$85.68	$99.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $78.95 / $99.75	Professional		$65.01	$78.95	$99.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.04 / $86.28 / $116.73	Facility		$84.04	$86.28	$116.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $96.43 / $116.73	Professional		$84.04	$96.43	$116.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $58.65 / $144.49	Professional		$33.00	$58.65	$144.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.68 / $85.94 / $99.75	Facility		$85.68	$85.94	$99.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $85.94 / $102.72	Professional		$69.65	$85.94	$102.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $55.01 / $64.33	Professional		$45.58	$55.01	$64.33
United Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $97.44 / $143.02	Professional		$78.48	$97.44	$143.02