Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.11 / $116.11 / $181.13	Facility		$116.11	$116.11	$181.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $116.11 / $128.44	Professional		$105.11	$116.11	$128.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $139.47 / $242.82	Facility		$99.15	$139.47	$242.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $91.67 / $98.09	Professional		$87.09	$91.67	$98.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $90.21 / $170.11	Professional		$62.08	$90.21	$170.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $116.11 / $116.11 / $213.35	Facility		$116.11	$116.11	$213.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $141.96 / $164.67	Professional		$116.11	$141.96	$164.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $111.32 / $182.16	Professional		$101.20	$111.32	$182.16
United Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Facility		$122.22	$122.22	$122.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $73.33 / $150.88	Professional		$51.33	$73.33	$150.88