Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $79.70 / $248.29	Facility		$79.58	$79.70	$248.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $79.70 / $93.50	Professional		$77.39	$79.70	$93.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $168.79 / $321.63	Facility		$89.90	$168.79	$321.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $78.84 / $78.84	Professional		$74.91	$78.84	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $77.39 / $77.39	Professional		$73.18	$77.39	$77.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $95.50 / $221.43	Facility		$77.39	$95.50	$221.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $79.58 / $92.86	Professional		$77.39	$79.58	$92.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $88.89 / $88.99	Professional		$88.86	$88.89	$88.99
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $86.68 / $92.87	Professional		$77.39	$86.68	$92.87