Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.65 / $148.91 / $232.30	Facility		$139.65	$148.91	$232.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $133.24 / $232.30	Professional		$125.40	$133.24	$232.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.42 / $104.42 / $109.92	Facility		$104.42	$104.42	$109.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $109.92 / $122.26	Professional		$104.42	$109.92	$122.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.22 / $191.22 / $239.03	Professional		$191.22	$191.22	$239.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $148.91 / $148.91 / $273.62	Facility		$148.91	$148.91	$273.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $150.47 / $188.10	Professional		$150.47	$150.47	$188.10
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 Facility Modifier Low / Median / High Price $65.84 / $141.08 / $188.10	Facility		$65.84	$141.08	$188.10
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $94.05 / $156.75	Professional		$65.84	$94.05	$156.75