Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $72.19 / $81.45	Facility		$72.19	$72.19	$81.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $68.31 / $85.97	Professional		$56.56	$68.31	$85.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.26 / $91.59 / $97.11	Facility		$73.26	$91.59	$97.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $97.11 / $121.39	Professional		$77.66	$97.11	$121.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $58.00 / $178.48	Professional		$49.00	$58.00	$178.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $71.33 / $71.33 / $81.45	Facility		$71.33	$71.33	$81.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $72.19 / $91.65	Professional		$59.94	$72.19	$91.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $67.41 / $98.72	Professional		$55.15	$67.41	$98.72
United Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $77.79 / $99.74	Professional		$58.76	$77.79	$99.74