Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $70.33 / $175.83	Facility		$70.33	$70.33	$175.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $70.33 / $74.72	Professional		$70.33	$70.33	$74.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.93 / $254.69 / $452.91	Facility		$184.93	$254.69	$452.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.43 / $170.98 / $205.18	Professional		$162.43	$170.98	$205.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $136.94 / $136.94	Professional		$74.72	$136.94	$136.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $86.19 / $175.83	Facility		$70.33	$86.19	$175.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $86.19 / $103.42	Professional		$70.33	$86.19	$103.42
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 $83.51 / $83.51 / $90.01	Professional		$83.51	$83.51	$90.01