Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.61 / $80.61 / $80.61	Facility		$80.61	$80.61	$80.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $80.61 / $80.61	Professional		$57.79	$80.61	$80.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.41 / $405.67 / $783.79	Facility		$209.41	$405.67	$783.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $141.69 / $168.68	Professional		$128.19	$141.69	$168.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $80.61 / $150.57 / $150.57	Facility		$80.61	$150.57	$150.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $150.57 / $184.36	Professional		$63.58	$150.57	$184.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $93.09 / $202.00	Professional		$93.09	$93.09	$202.00