Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.05 / $233.62 / $233.62	Facility		$136.05	$233.62	$233.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.33 / $121.03 / $136.05	Professional		$97.33	$121.03	$136.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $125.82 / $220.63	Facility		$91.67	$125.82	$220.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $99.77 / $127.06	Professional		$89.41	$99.77	$127.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $146.22 / $266.68	Professional		$87.64	$146.22	$266.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $99.39 / $136.05 / $233.62	Facility		$99.39	$136.05	$233.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $124.69 / $192.96	Professional		$99.39	$124.69	$192.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $70.77 / $90.40	Professional		$60.16	$70.77	$90.40
United Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $147.61 / $199.73	Professional		$118.60	$147.61	$199.73