Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.72 / $104.70 / $245.32	Facility		$99.72	$104.70	$245.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $95.85 / $104.70	Professional		$76.59	$95.85	$104.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $131.69 / $234.19	Facility		$92.60	$131.69	$234.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $49.16 / $60.85	Professional		$44.48	$49.16	$60.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $107.36 / $184.52	Professional		$63.55	$107.36	$184.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $76.20 / $205.82	Facility		$62.40	$76.20	$205.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $99.71 / $142.93	Professional		$76.20	$99.71	$142.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $37.19 / $58.07	Professional		$30.03	$37.19	$58.07
United Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $106.00 / $143.41	Professional		$87.35	$106.00	$143.41