Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $123.33 / $123.33	Facility		$83.49	$123.33	$123.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $123.33 / $155.82	Professional		$76.79	$123.33	$155.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.41 / $248.80 / $493.45	Facility		$141.41	$248.80	$493.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $172.11 / $344.22	Professional		$67.23	$172.11	$344.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $120.42 / $120.42	Facility		$120.42	$120.42	$120.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $139.22 / $298.06	Professional		$80.73	$139.22	$298.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $105.27 / $123.33	Facility		$83.49	$105.27	$123.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $116.57 / $178.19	Professional		$101.99	$116.57	$178.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $76.59 / $117.12	Professional		$34.95	$76.59	$117.12
United Facility/Professional Facility Modifier Low / Median / High Price $541.62 / $541.62 / $541.62	Facility		$541.62	$541.62	$541.62
United Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $126.87 / $213.08	Professional		$96.66	$126.87	$213.08