Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $87.37 / $209.70	Facility		$67.20	$87.37	$209.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.65 / $73.31	Professional		$66.00	$66.65	$73.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.67 / $143.94 / $274.27	Facility		$76.67	$143.94	$274.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $69.93 / $90.77	Professional		$63.88	$69.93	$90.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $77.83	Professional		$66.00	$66.00	$77.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $117.62 / $187.01	Facility		$66.00	$117.62	$187.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.65 / $82.50	Professional		$66.00	$66.65	$82.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $71.80 / $97.89	Professional		$65.26	$71.80	$97.89
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $73.47 / $81.84	Professional		$66.00	$73.47	$81.84