Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.11 / $157.08 / $418.39	Facility		$116.11	$157.08	$418.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $116.11 / $167.84	Professional		$98.56	$116.11	$167.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $139.47 / $242.82	Facility		$99.15	$139.47	$242.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $91.67 / $98.09	Professional		$87.09	$91.67	$98.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $93.97 / $170.11	Professional		$61.89	$93.97	$170.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $116.11 / $168.39 / $418.39	Facility		$116.11	$168.39	$418.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $156.74 / $201.60	Professional		$116.11	$156.74	$201.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $111.32 / $136.62	Professional		$101.20	$111.32	$136.62
United Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Facility		$122.22	$122.22	$122.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $91.54 / $166.74	Professional		$51.33	$91.54	$166.74