Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.06 / $169.98 / $286.12	Facility		$143.06	$169.98	$286.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $143.06 / $143.06	Professional		$101.72	$143.06	$143.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.77 / $171.84 / $305.58	Facility		$124.77	$171.84	$305.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $107.86 / $145.61	Professional		$102.47	$107.86	$145.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $153.04 / $273.52	Professional		$124.50	$153.04	$273.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $142.58 / $200.28 / $337.98	Facility		$142.58	$200.28	$337.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $142.58 / $143.06 / $187.91	Professional		$142.58	$143.06	$187.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $145.05 / $145.05	Professional		$30.00	$145.05	$145.05
United Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $74.09 / $181.49	Facility		$74.09	$74.09	$181.49
United Facility/Professional Professional Modifier Low / Median / High Price $120.68 / $147.61 / $222.32	Professional		$120.68	$147.61	$222.32