Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.59 / $162.34 / $240.70	Facility		$122.59	$162.34	$240.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $119.56 / $189.51	Professional		$90.43	$119.56	$189.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.28 / $175.33 / $304.73	Facility		$123.28	$175.33	$304.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $151.86 / $193.03	Professional		$62.25	$151.86	$193.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.05 / $120.05 / $120.05	Facility		$120.05	$120.05	$120.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $121.54 / $229.54	Professional		$77.31	$121.54	$229.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $128.71 / $264.26	Facility		$86.21	$128.71	$264.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $115.86 / $189.51	Professional		$86.21	$115.86	$189.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $76.71 / $117.12	Professional		$34.95	$76.71	$117.12
United Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $108.97 / $108.97	Facility		$108.97	$108.97	$108.97
United Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $102.91 / $152.25	Professional		$83.66	$102.91	$152.25