Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $122.28 / $122.28	Facility		$46.71	$122.28	$122.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $122.28 / $122.28	Professional		$70.09	$122.28	$122.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.85 / $334.98 / $593.70	Facility		$243.85	$334.98	$593.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $98.30 / $126.39	Professional		$88.94	$98.30	$126.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $136.41 / $300.75	Professional		$86.43	$136.41	$300.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $113.49 / $122.28	Facility		$46.71	$113.49	$122.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $122.28 / $334.05	Professional		$113.49	$122.28	$334.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $74.22 / $133.62	Professional		$60.06	$74.22	$133.62
United Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $263.31 / $349.17	Professional		$113.68	$263.31	$349.17