Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.10 / $214.52 / $618.46	Facility		$131.10	$214.52	$618.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $137.19 / $395.25	Professional		$89.12	$137.19	$395.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $236.41 / $410.90	Facility		$166.23	$236.41	$410.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $178.07 / $240.83	Professional		$52.29	$178.07	$240.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $140.24 / $140.24	Facility		$140.24	$140.24	$140.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $160.85 / $366.49	Professional		$104.29	$160.85	$366.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.10 / $297.45 / $787.14	Facility		$131.10	$297.45	$787.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $137.18 / $275.04	Professional		$108.51	$137.18	$275.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $109.97 / $164.19	Professional		$35.97	$109.97	$164.19
United Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $80.90 / $80.90	Facility		$80.90	$80.90	$80.90
United Facility/Professional Professional Modifier Low / Median / High Price $115.69 / $146.16 / $208.75	Professional		$115.69	$146.16	$208.75