Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $105.08 / $147.11	Facility		$84.06	$105.08	$147.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $84.06 / $89.31	Professional		$84.06	$84.06	$89.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.65 / $185.21 / $352.92	Facility		$98.65	$185.21	$352.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $89.98 / $108.15	Professional		$82.19	$89.98	$108.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $89.31 / $89.31	Professional		$79.90	$89.31	$89.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.81 / $109.28 / $233.90	Facility		$89.81	$109.28	$233.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $92.81 / $111.37	Professional		$84.06	$92.81	$111.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $97.47 / $108.58	Professional		$87.56	$97.47	$108.58