Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.45 / $114.99 / $114.99	Facility		$88.45	$114.99	$114.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $84.03 / $103.87	Professional		$65.22	$84.03	$103.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.13 / $240.97 / $455.85	Facility		$129.13	$240.97	$455.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $108.23 / $128.85	Professional		$93.71	$108.23	$128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $95.55 / $212.34	Professional		$63.28	$95.55	$212.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.94 / $76.94 / $114.99	Facility		$76.94	$76.94	$114.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $76.94 / $104.68	Professional		$67.06	$76.94	$104.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $67.24 / $98.78	Professional		$53.61	$67.24	$98.78
United Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $84.01 / $112.13	Professional		$70.31	$84.01	$112.13