Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $67.70 / $211.22	Facility		$67.59	$67.70	$211.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $67.59 / $79.53	Professional		$65.63	$67.59	$79.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $143.13 / $272.72	Facility		$76.23	$143.13	$272.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $66.86 / $66.86	Professional		$63.52	$66.86	$66.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $65.63 / $65.63	Professional		$53.02	$65.63	$65.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $81.23 / $188.38	Facility		$65.63	$81.23	$188.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $67.59 / $78.75	Professional		$65.63	$67.59	$78.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.46 / $75.47 / $75.58	Professional		$73.46	$75.47	$75.58
United Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $63.88 / $63.88	Facility		$63.88	$63.88	$63.88
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $66.95	Professional		$65.63	$65.63	$66.95