Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $74.31 / $192.00	Facility		$74.31	$74.31	$192.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $74.23 / $83.29	Professional		$54.04	$74.23	$83.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.55 / $110.55 / $110.55	Facility		$110.55	$110.55	$110.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $110.55 / $138.19	Professional		$99.50	$110.55	$138.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $81.38 / $189.65	Professional		$66.06	$81.38	$189.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $76.43 / $76.43	Facility		$74.31	$76.43	$76.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $76.43 / $93.63	Professional		$68.84	$76.43	$93.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $67.47 / $94.67	Professional		$54.60	$67.47	$94.67
United Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $85.27 / $106.92	Professional		$70.30	$85.27	$106.92