Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.51 / $76.51 / $287.00	Facility		$76.51	$76.51	$287.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $67.86 / $77.54	Professional		$56.51	$67.86	$77.54
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 / $66.06 / $120.11	Professional		$66.06	$66.06	$120.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $76.43 / $76.51	Facility		$76.43	$76.43	$76.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $76.43 / $88.63	Professional		$60.17	$76.43	$88.63
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 $75.06 / $86.77 / $108.10	Professional		$75.06	$86.77	$108.10