Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.54 / $109.60 / $160.44	Facility		$105.54	$109.60	$160.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $109.60 / $160.44	Professional		$79.67	$109.60	$160.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $131.72 / $301.60	Facility		$92.03	$131.72	$301.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $102.30 / $195.30	Professional		$21.08	$102.30	$195.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $121.39 / $224.99	Professional		$79.15	$121.39	$224.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $105.54 / $111.20 / $154.50	Facility		$105.54	$111.20	$154.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $123.59 / $190.10	Professional		$109.60	$123.59	$190.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.78 / $144.21	Professional		$81.79	$101.78	$144.21
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 $120.53 / $138.25 / $201.97	Professional		$120.53	$138.25	$201.97