Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $96.80 / $65,873.64	Facility		$96.80	$96.80	$65,873.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $96.80 / $102.85	Professional		$96.80	$96.80	$102.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $120.52 / $239.59	Facility		$77.81	$120.52	$239.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $32.29 / $43.61	Professional		$5.22	$32.29	$43.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $116.60 / $121.08	Facility		$96.80	$116.60	$121.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $116.60 / $139.91	Professional		$96.80	$116.60	$139.91
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 $110.00 / $110.00 / $118.56	Professional		$110.00	$110.00	$118.56