Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.50 / $117.50 / $183.30	Facility		$117.50	$117.50	$183.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $117.50 / $219.24	Professional		$99.82	$117.50	$219.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.33 / $139.90 / $245.71	Facility		$100.33	$139.90	$245.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $92.76 / $99.25	Professional		$88.12	$92.76	$99.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $95.10 / $171.91	Professional		$62.72	$95.10	$171.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $117.50 / $117.50 / $215.91	Facility		$117.50	$117.50	$215.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $158.61 / $206.30	Professional		$117.50	$158.61	$206.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $112.65 / $138.25	Professional		$102.41	$112.65	$138.25
United Facility/Professional Facility Modifier Low / Median / High Price $51.95 / $111.31 / $148.41	Facility		$51.95	$111.31	$148.41
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $101.24 / $168.73	Professional		$51.95	$101.24	$168.73