Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.36 / $123.31 / $123.31	Facility		$94.36	$123.31	$123.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $123.31 / $123.31	Professional		$96.22	$123.31	$123.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $203.11 / $361.18	Facility		$146.66	$203.11	$361.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $152.99 / $172.11	Professional		$39.88	$152.99	$172.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $188.45 / $298.13	Professional		$112.36	$188.45	$298.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $94.36 / $108.06 / $123.31	Facility		$94.36	$108.06	$123.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $108.06 / $118.00 / $180.42	Professional		$108.06	$118.00	$180.42
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 Professional Modifier Low / Median / High Price $107.39 / $141.31 / $212.85	Professional		$107.39	$141.31	$212.85