Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $66.56 / $150.10	Facility		$65.41	$66.56	$150.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $66.56 / $90.81	Professional		$64.62	$66.56	$90.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.87 / $143.88 / $272.19	Facility		$79.87	$143.88	$272.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $42.34 / $42.34	Professional		$40.22	$42.34	$42.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $64.62 / $78.63	Professional		$11.78	$64.62	$78.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $96.93 / $215.09	Facility		$64.62	$96.93	$215.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $66.56 / $78.25	Professional		$64.62	$66.56	$78.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $75.85 / $86.30	Professional		$74.31	$75.85	$86.30
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $68.56	Professional		$64.62	$64.62	$68.56