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 $172.44 / $238.80 / $424.65	Facility		$172.44	$238.80	$424.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $176.46 / $198.66	Professional		$35.86	$176.46	$198.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $231.87 / $360.88	Professional		$121.97	$231.87	$360.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $110.43 / $132.61 / $139.38	Facility		$110.43	$132.61	$139.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $134.02 / $219.12	Professional		$128.44	$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 Professional Modifier Low / Median / High Price $128.40 / $186.22 / $312.42	Professional		$128.40	$186.22	$312.42