Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.51 / $101.98 / $352.24	Facility		$63.51	$101.98	$352.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $101.98 / $108.36	Professional		$101.98	$101.98	$108.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.33 / $85.85 / $152.66	Facility		$62.33	$85.85	$152.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $57.63 / $69.16	Professional		$54.75	$57.63	$69.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $184.47	Professional		$108.36	$108.36	$184.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $95.04 / $114.73 / $500.54	Facility		$95.04	$114.73	$500.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $101.98 / $121.90	Professional		$101.59	$101.98	$121.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $116.12	Professional		$106.24	$106.24	$116.12