Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.21 / $152.21 / $152.21	Facility		$152.21	$152.21	$152.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $137.16 / $152.94	Professional		$108.29	$137.16	$152.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $225.68 / $404.91	Facility		$155.44	$225.68	$404.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $56.48 / $69.93	Professional		$51.09	$56.48	$69.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $161.63 / $299.41	Professional		$100.84	$161.63	$299.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $109.18 / $117.42 / $179.84	Facility		$109.18	$117.42	$179.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $148.84 / $209.28	Professional		$117.42	$148.84	$209.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $37.19 / $91.32	Professional		$28.75	$37.19	$91.32
United Facility/Professional Professional Modifier Low / Median / High Price $132.10 / $158.90 / $202.23	Professional		$132.10	$158.90	$202.23