Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.06 / $151.33 / $247.81	Facility		$121.06	$151.33	$247.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $121.06 / $121.06	Professional		$109.59	$121.06	$121.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $144.13 / $253.16	Facility		$103.37	$144.13	$253.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $95.57 / $102.26	Professional		$90.79	$95.57	$102.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $91.29 / $194.11	Professional		$58.28	$91.29	$194.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $121.06 / $152.53 / $222.45	Facility		$121.06	$152.53	$222.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $142.81 / $198.92	Professional		$121.06	$142.81	$198.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $116.06 / $142.43	Professional		$105.51	$116.06	$142.43
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $91.16 / $151.93	Professional		$53.52	$91.16	$151.93