Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $119.33 / $130.12	Professional		$67.00	$119.33	$130.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.71 / $156.71 / $156.71	Facility		$156.71	$156.71	$156.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $164.55 / $211.56	Professional		$148.87	$164.55	$211.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $226.88	Professional		$71.33	$71.33	$226.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $118.85 / $145.35	Professional		$94.51	$118.85	$145.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $208.15 / $325.80	Professional		$181.00	$208.15	$325.80
United Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $73.59 / $112.18	Professional		$58.04	$73.59	$112.18