Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.98 / $112.11 / $3,874.52	Facility		$88.98	$112.11	$3,874.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $93.85 / $1,329.61	Professional		$86.38	$93.85	$1,329.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.78 / $192.36 / $363.89	Facility		$106.78	$192.36	$363.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $88.01 / $88.01	Professional		$83.61	$88.01	$88.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $502.39	Professional		$86.38	$86.38	$502.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $182.22 / $468.00	Facility		$86.38	$182.22	$468.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $91.11 / $750.39	Professional		$86.38	$91.11	$750.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $103.97 / $104.77	Professional		$99.33	$103.97	$104.77
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $91.64	Professional		$86.38	$86.38	$91.64