Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.66 / $102.46 / $140.80	Facility		$98.66	$102.46	$140.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $99.73 / $140.80	Professional		$69.14	$99.73	$140.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $87.24 / $198.42	Facility		$62.10	$87.24	$198.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $115.53 / $192.75	Professional		$21.85	$115.53	$192.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $104.74 / $188.43	Professional		$73.50	$104.74	$188.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $98.66 / $105.39 / $135.58	Facility		$98.66	$105.39	$135.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $110.69 / $169.67	Professional		$101.97	$110.69	$169.67
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 / $1,209.00 / $1,844.00	Facility		$300.00	$1,209.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $119.55 / $151.44	Professional		$99.39	$119.55	$151.44