Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.96 / $132.96 / $132.96	Facility		$132.96	$132.96	$132.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $132.96 / $133.37	Professional		$81.56	$132.96	$133.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.38 / $158.40 / $281.68	Facility		$111.38	$158.40	$281.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $83.15 / $106.91	Professional		$67.31	$83.15	$106.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.79 / $103.79 / $103.79	Facility		$103.79	$103.79	$103.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $117.81 / $213.74	Professional		$73.84	$117.81	$213.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.58 / $81.58 / $132.96	Facility		$81.58	$81.58	$132.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $114.18 / $170.81	Professional		$81.58	$114.18	$170.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.11 / $60.96	Professional		$32.34	$37.11	$60.96
United Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $160.11 / $321.06	Professional		$101.40	$160.11	$321.06