Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.62 / $75.62 / $250.00	Facility		$75.62	$75.62	$250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $69.00 / $80.17	Professional		$56.52	$69.00	$80.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.05 / $110.05 / $110.05	Facility		$110.05	$110.05	$110.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $110.05 / $137.56	Professional		$99.05	$110.05	$137.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $126.81	Professional		$65.77	$65.77	$126.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.62 / $80.23 / $80.23	Facility		$75.62	$80.23	$80.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $79.18 / $89.86	Professional		$60.41	$79.18	$89.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $101.35 / $144.16	Professional		$82.15	$101.35	$144.16
United Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $88.70 / $110.86	Professional		$75.77	$88.70	$110.86