Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.22 / $134.22 / $134.22	Facility		$134.22	$134.22	$134.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $115.90 / $137.25	Professional		$95.68	$115.90	$137.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.43 / $509.34 / $905.74	Facility		$356.43	$509.34	$905.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $61.70 / $76.39	Professional		$55.83	$61.70	$76.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $151.49 / $325.13	Professional		$88.84	$151.49	$325.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.20 / $101.72 / $179.84	Facility		$85.20	$101.72	$179.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $127.15 / $356.01	Professional		$101.72	$127.15	$356.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $37.31 / $91.32	Professional		$31.41	$37.31	$91.32
United Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $253.30 / $333.80	Professional		$158.90	$253.30	$333.80