Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.40 / $148.40 / $148.40	Facility		$148.40	$148.40	$148.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $148.40 / $188.83	Professional		$91.05	$148.40	$188.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.40 / $176.92 / $314.61	Facility		$124.40	$176.92	$314.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $152.97 / $212.70	Professional		$80.18	$152.97	$212.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.54 / $143.54 / $143.54	Facility		$143.54	$143.54	$143.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $227.08 / $545.12	Professional		$109.93	$227.08	$545.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.86 / $218.34 / $218.34	Facility		$83.86	$218.34	$218.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.76 / $212.09 / $255.45	Professional		$124.76	$212.09	$255.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $78.84 / $152.74	Professional		$34.95	$78.84	$152.74
United Facility/Professional Professional Modifier Low / Median / High Price $134.26 / $175.21 / $443.86	Professional		$134.26	$175.21	$443.86