Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.36 / $109.67 / $21,292.62	Facility		$84.36	$109.67	$21,292.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.90 / $90.28	Professional		$82.08	$82.90	$90.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.34 / $179.01 / $341.09	Facility		$95.34	$179.01	$341.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $86.96 / $112.89	Professional		$79.44	$86.96	$112.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $99.01	Professional		$82.07	$82.07	$99.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $163.82 / $263.20	Facility		$82.08	$163.82	$263.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.90 / $99.28	Professional		$82.08	$82.90	$99.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $90.28 / $123.12	Professional		$30.00	$90.28	$123.12
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $91.37 / $99.32	Professional		$82.08	$91.37	$99.32