Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $84.86 / $126.76	Facility		$65.28	$84.86	$126.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $79.86 / $83.86	Professional		$65.28	$79.86	$83.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $174.17 / $331.87	Facility		$92.77	$174.17	$331.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $46.11 / $59.86	Professional		$42.12	$46.11	$59.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $79.86 / $92.60	Professional		$74.76	$79.86	$92.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $127.30 / $181.64	Facility		$79.86	$127.30	$181.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $79.86 / $103.81	Professional		$65.28	$79.86	$103.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $79.22 / $111.80	Professional		$63.18	$79.22	$111.80
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $88.90 / $102.24	Professional		$79.86	$88.90	$102.24