Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.51 / $115.03 / $115.03	Facility		$92.51	$115.03	$115.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $115.03 / $115.03	Professional		$89.59	$115.03	$115.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.59 / $199.13 / $354.10	Facility		$144.59	$199.13	$354.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $129.94 / $168.74	Professional		$27.89	$129.94	$168.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.01 / $162.06 / $216.38	Professional		$93.01	$162.06	$216.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $85.10 / $115.03	Facility		$85.10	$85.10	$115.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $103.88 / $156.06	Professional		$85.10	$103.88	$156.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $81.76 / $114.38	Professional		$57.16	$81.76	$114.38
United Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $123.78 / $161.47	Professional		$102.21	$123.78	$161.47