Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.42 / $98.42 / $98.42	Facility		$98.42	$98.42	$98.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $98.42 / $98.42	Professional		$58.73	$98.42	$98.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.26 / $161.85 / $281.29	Facility		$113.26	$161.85	$281.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $116.83 / $138.47	Professional		$22.91	$116.83	$138.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $95.07 / $95.07	Facility		$95.07	$95.07	$95.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $90.28 / $181.07	Professional		$52.62	$90.28	$181.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.71 / $55.71 / $98.42	Facility		$55.71	$55.71	$98.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $78.31 / $123.79	Professional		$55.71	$78.31	$123.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $65.61 / $89.34	Professional		$52.62	$65.61	$89.34
United Facility/Professional Facility Modifier Low / Median / High Price $178.55 / $178.55 / $178.55	Facility		$178.55	$178.55	$178.55
United Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $76.94 / $104.16	Professional		$57.99	$76.94	$104.16