Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.06 / $113.18 / $169.06	Facility		$87.06	$113.18	$169.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $85.42 / $93.03	Professional		$84.57	$85.42	$93.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.24 / $184.44 / $351.45	Facility		$98.24	$184.44	$351.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $89.61 / $116.32	Professional		$81.84	$89.61	$116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $133.03	Professional		$84.57	$84.57	$133.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $169.06 / $242.24	Facility		$84.57	$169.06	$242.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $87.06 / $109.94	Professional		$84.57	$87.06	$109.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $92.98 / $114.16	Professional		$30.00	$92.98	$114.16
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $94.14 / $104.87	Professional		$84.57	$94.14	$104.87