Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.75 / $245.75 / $950.00	Facility		$245.75	$245.75	$950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $245.75 / $245.75	Professional		$171.00	$245.75	$245.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.89 / $96.89 / $99.43	Facility		$96.89	$96.89	$99.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $103.67 / $134.22	Professional		$92.05	$103.67	$134.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.70 / $223.70 / $223.70	Facility		$223.70	$223.70	$223.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $250.00 / $935.47	Professional		$225.00	$250.00	$935.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $126.49 / $245.75 / $950.00	Facility		$126.49	$245.75	$950.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $195.24 / $245.75 / $275.00	Professional		$195.24	$245.75	$275.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $108.97 / $108.97	Facility		$108.97	$108.97	$108.97
United Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $110.98 / $166.65	Professional		$94.33	$110.98	$166.65