Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.09 / $133.09 / $133.09	Facility		$133.09	$133.09	$133.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $133.09 / $133.09	Professional		$80.26	$133.09	$133.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.97 / $226.11 / $392.98	Facility		$158.97	$226.11	$392.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $156.11 / $191.59	Professional		$26.89	$156.11	$191.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.37 / $129.37 / $129.37	Facility		$129.37	$129.37	$129.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $117.93 / $246.15	Professional		$85.88	$117.93	$246.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $82.05 / $82.05 / $133.09	Facility		$82.05	$82.05	$133.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $114.87 / $169.11	Professional		$82.05	$114.87	$169.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $97.84 / $133.91	Professional		$78.52	$97.84	$133.91
United Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $230.13 / $230.13	Facility		$230.13	$230.13	$230.13
United Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $107.40 / $148.25	Professional		$90.45	$107.40	$148.25