Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.11 / $78.25 / $240.58	Facility		$77.11	$78.25	$240.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $78.25 / $90.58	Professional		$75.97	$78.25	$90.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.26 / $165.71 / $315.76	Facility		$88.26	$165.71	$315.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $77.41 / $77.41	Professional		$73.54	$77.41	$77.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $110.76	Professional		$75.97	$75.97	$110.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $134.94 / $214.56	Facility		$75.97	$134.94	$214.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $77.11 / $91.16	Professional		$75.97	$77.11	$91.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $105.64 / $113.95	Professional		$30.00	$105.64	$113.95
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $80.59	Professional		$75.97	$75.97	$80.59