Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.93 / $93.51 / $17,819.40	Facility		$71.93	$93.51	$17,819.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $72.08 / $84.64	Professional		$71.37	$72.08	$84.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $155.65 / $296.58	Facility		$82.90	$155.65	$296.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $75.62 / $98.16	Professional		$69.06	$75.62	$98.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $84.16	Professional		$71.37	$71.37	$84.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $139.68 / $17,819.40	Facility		$71.37	$139.68	$17,819.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.93 / $92.05	Professional		$71.37	$71.93	$92.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $75.00 / $101.44	Professional		$67.63	$75.00	$101.44
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $79.45 / $91.37	Professional		$71.37	$79.45	$91.37