Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $135.96 / $209.72	Facility		$130.91	$135.96	$209.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $140.66 / $209.72	Professional		$101.67	$140.66	$209.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $202.15 / $462.88	Facility		$138.63	$202.15	$462.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $148.55 / $269.50	Professional		$29.57	$148.55	$269.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $157.13 / $283.97	Professional		$99.62	$157.13	$283.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $159.16 / $201.96	Facility		$130.91	$159.16	$201.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $167.36 / $258.61	Professional		$135.96	$167.36	$258.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $135.73 / $192.57	Professional		$108.71	$135.73	$192.57
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.66 / $183.65 / $257.95	Professional		$151.66	$183.65	$257.95