Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $103.77 / $154.97	Facility		$71.45	$103.77	$154.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $71.45 / $87.40	Professional		$69.37	$71.45	$87.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.02 / $146.49 / $279.13	Facility		$78.02	$146.49	$279.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $71.17 / $92.38	Professional		$65.01	$71.17	$92.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $83.58	Professional		$69.37	$69.37	$83.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $103.77 / $222.10	Facility		$69.37	$103.77	$222.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $71.45 / $93.76	Professional		$69.37	$71.45	$93.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $96.86 / $116.23	Professional		$69.37	$96.86	$116.23
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $77.22 / $86.02	Professional		$69.37	$77.22	$86.02