Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.63 / $118.63 / $623.94	Facility		$118.63	$118.63	$623.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $118.63 / $128.94	Professional		$96.44	$118.63	$128.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.29 / $141.24 / $248.07	Facility		$101.29	$141.24	$248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $93.65 / $100.21	Professional		$88.97	$93.65	$100.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $73.92 / $173.71	Professional		$57.13	$73.92	$173.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $117.48 / $118.63 / $623.94	Facility		$117.48	$118.63	$623.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.48 / $117.48 / $154.05	Professional		$117.48	$117.48	$154.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.39 / $113.72 / $186.10	Professional		$103.39	$113.72	$186.10
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $74.92 / $124.87	Professional		$52.45	$74.92	$124.87