Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $96.06 / $149.85	Facility		$96.06	$96.06	$149.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $96.06 / $300.00	Professional		$86.45	$96.06	$300.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $114.38 / $200.89	Facility		$79.43	$114.38	$200.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $75.84 / $79.63	Professional		$72.05	$75.84	$79.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $108.01 / $227.52	Professional		$46.23	$108.01	$227.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $96.06 / $196.20	Facility		$96.06	$96.06	$196.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $196.20 / $200.20	Professional		$96.06	$196.20	$200.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $92.10 / $113.03	Professional		$83.73	$92.10	$113.03
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $60.67 / $101.12	Professional		$42.47	$60.67	$101.12