Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $145.15 / $275.58	Facility		$89.10	$145.15	$275.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $111.01 / $176.41	Professional		$83.89	$111.01	$176.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.03 / $165.81 / $288.18	Facility		$116.03	$165.81	$288.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $140.49 / $170.08	Professional		$43.82	$140.49	$170.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.47 / $111.47 / $111.47	Facility		$111.47	$111.47	$111.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $125.65 / $274.50	Professional		$84.83	$125.65	$274.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $145.15 / $275.58	Facility		$82.96	$145.15	$275.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $106.96 / $166.51	Professional		$82.96	$106.96	$166.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $77.58 / $119.35	Professional		$35.97	$77.58	$119.35
United Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $109.58 / $156.49	Professional		$91.16	$109.58	$156.49