Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.43 / $139.38 / $139.38	Facility		$110.43	$139.38	$139.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $139.38 / $139.38	Professional		$108.35	$139.38	$139.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.39 / $238.80 / $424.65	Facility		$173.39	$238.80	$424.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $166.72 / $206.61	Professional		$34.07	$166.72	$206.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $231.87 / $360.12	Professional		$121.97	$231.87	$360.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $110.43 / $124.15 / $139.38	Facility		$110.43	$124.15	$139.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.15 / $134.02 / $219.12	Professional		$124.15	$134.02	$219.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $107.91 / $151.36	Professional		$34.19	$107.91	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $151.33 / $377.12 / $377.12	Facility		$151.33	$377.12	$377.12
United Facility/Professional Professional Modifier Low / Median / High Price $128.08 / $151.27 / $197.11	Professional		$128.08	$151.27	$197.11