Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.64 / $73.81 / $230.29	Facility		$68.64	$73.81	$230.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $68.64 / $86.71	Professional		$66.64	$68.64	$86.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $148.38 / $280.70	Facility		$82.37	$148.38	$280.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.21 / $63.38 / $63.38	Professional		$60.21	$63.38	$63.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $66.64 / $74.48	Professional		$62.33	$66.64	$74.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $106.79 / $205.38	Facility		$66.64	$106.79	$205.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $68.64 / $79.95	Professional		$66.64	$68.64	$79.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $76.63 / $82.40	Professional		$74.92	$76.63	$82.40
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $74.64 / $81.30	Professional		$66.64	$74.64	$81.30