Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $84.36 / $165.72	Facility		$84.35	$84.36	$165.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $83.69 / $90.09	Professional		$81.90	$83.69	$90.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.14 / $178.62 / $340.35	Facility		$95.14	$178.62	$340.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $86.78 / $112.64	Professional		$79.27	$86.78	$112.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $102.01	Professional		$81.90	$81.90	$102.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $122.85 / $237.49	Facility		$81.90	$122.85	$237.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $83.69 / $102.37	Professional		$81.90	$83.69	$102.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $90.09 / $122.85	Professional		$78.86	$90.09	$122.85
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $91.17 / $101.56	Professional		$81.90	$91.17	$101.56