Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.81 / $142.81 / $457.48	Facility		$142.81	$142.81	$457.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $142.81 / $170.89	Professional		$120.26	$142.81	$170.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $170.05 / $298.66	Facility		$121.95	$170.05	$298.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $112.75 / $120.64	Professional		$107.11	$112.75	$120.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $84.18 / $133.35	Professional		$71.16	$84.18	$133.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $142.81 / $142.81 / $457.48	Facility		$142.81	$142.81	$457.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $142.81 / $144.32 / $180.40	Professional		$142.81	$144.32	$180.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.48 / $136.92 / $224.06	Professional		$124.48	$136.92	$224.06
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $150.33	Professional		$63.14	$90.20	$150.33