Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.73 / $213.76 / $282.54	Facility		$114.73	$213.76	$282.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $114.73 / $114.73	Professional		$69.80	$114.73	$114.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.15 / $199.83 / $386.08	Facility		$103.15	$199.83	$386.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $69.79 / $83.09	Professional		$63.15	$69.79	$83.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $120.46 / $282.54	Facility		$71.38	$120.46	$282.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $76.37 / $114.73	Professional		$71.38	$76.37	$114.73
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 $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29