Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.64 / $81.77 / $255.12	Facility		$81.64	$81.77	$255.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $81.64 / $96.06	Professional		$79.26	$81.64	$96.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.07 / $172.86 / $329.38	Facility		$92.07	$172.86	$329.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $80.75 / $80.75	Professional		$76.70	$80.75	$80.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $79.26 / $79.26	Professional		$62.43	$79.26	$79.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $102.21 / $227.53	Facility		$79.26	$102.21	$227.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $81.64 / $95.11	Professional		$79.26	$81.64	$95.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $91.14 / $91.29	Professional		$88.49	$91.14	$91.29
United Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $79.20 / $79.20	Facility		$79.20	$79.20	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $84.09	Professional		$79.26	$79.26	$84.09