Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $98.48 / $147.10	Facility		$75.75	$98.48	$147.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $74.67 / $81.33	Professional		$73.94	$74.67	$81.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.89 / $161.26 / $307.27	Facility		$85.89	$161.26	$307.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $78.33 / $101.68	Professional		$71.55	$78.33	$101.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $91.06	Professional		$73.94	$73.94	$91.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $132.56 / $210.77	Facility		$73.94	$132.56	$210.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $75.75 / $92.42	Professional		$73.94	$75.75	$92.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $77.41 / $105.57	Professional		$70.38	$77.41	$105.57
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $82.31 / $94.66	Professional		$73.94	$82.31	$94.66