Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.15 / $130.15 / $203.03	Facility		$130.15	$130.15	$203.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.82 / $130.15 / $130.15	Professional		$117.82	$130.15	$130.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.79 / $156.32 / $272.17	Facility		$111.79	$156.32	$272.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $80.15 / $190.81	Professional		$62.74	$80.15	$190.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.15 / $130.15 / $239.15	Facility		$130.15	$130.15	$239.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $131.52 / $164.40	Professional		$130.15	$131.52	$164.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $124.78 / $204.19	Professional		$113.44	$124.78	$204.19
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $137.00	Professional		$57.54	$82.20	$137.00