Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.77 / $137.77 / $137.77	Facility		$137.77	$137.77	$137.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $137.77 / $137.77	Professional		$80.45	$137.77	$137.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.45 / $150.72 / $261.98	Facility		$109.45	$150.72	$261.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $150.44 / $176.14	Professional		$63.74	$150.44	$176.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $120.42 / $120.42	Facility		$120.42	$120.42	$120.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $161.57 / $269.52	Professional		$88.14	$161.57	$269.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $82.31 / $104.21 / $137.77	Facility		$82.31	$104.21	$137.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $119.32 / $176.99	Professional		$104.21	$119.32	$176.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $76.59 / $117.12	Professional		$34.95	$76.59	$117.12
United Facility/Professional Professional Modifier Low / Median / High Price $107.25 / $134.63 / $221.65	Professional		$107.25	$134.63	$221.65