Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.78 / $81.30 / $252.03	Facility		$80.78	$81.30	$252.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $81.30 / $94.90	Professional		$78.93	$81.30	$94.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.57 / $175.77 / $332.51	Facility		$97.57	$175.77	$332.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $80.42 / $80.42	Professional		$76.40	$80.42	$80.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $100.98 / $224.77	Facility		$78.93	$100.98	$224.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $80.78 / $94.71	Professional		$78.93	$80.78	$94.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $90.76 / $91.70	Professional		$90.19	$90.76	$91.70
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $94.72	Professional		$78.93	$78.93	$94.72