Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.76 / $155.76 / $242.99	Facility		$155.76	$155.76	$242.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.01 / $155.76 / $155.76	Professional		$141.01	$155.76	$155.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $109.23 / $114.98	Facility		$109.23	$109.23	$114.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.23 / $114.98 / $127.89	Professional		$109.23	$114.98	$127.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $199.89 / $368.91	Professional		$106.58	$199.89	$368.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $155.76 / $155.76 / $286.20	Facility		$155.76	$155.76	$286.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $155.76 / $190.44 / $216.59	Professional		$155.76	$190.44	$216.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $98.38 / $202.42	Professional		$68.86	$98.38	$202.42