Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $138.24 / $138.24	Facility		$44.22	$138.24	$138.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $138.24 / $138.24	Professional		$93.81	$138.24	$138.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.79 / $175.79 / $175.79	Facility		$175.79	$175.79	$175.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $139.84 / $184.58	Professional		$56.30	$139.84	$184.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $194.26 / $298.19	Professional		$102.47	$194.26	$298.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $122.91 / $138.24	Facility		$44.22	$122.91	$138.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.63 / $130.16 / $185.69	Professional		$114.63	$130.16	$185.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $66.11 / $147.75	Professional		$28.95	$66.11	$147.75
United Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $249.62 / $249.62	Facility		$159.60	$249.62	$249.62
United Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $159.22 / $226.23	Professional		$121.47	$159.22	$226.23