Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.67 / $103.67 / $161.72	Facility		$103.67	$103.67	$161.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $103.67 / $103.67	Professional		$93.85	$103.67	$103.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.53 / $123.45 / $216.81	Facility		$88.53	$123.45	$216.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $81.84 / $87.58	Professional		$77.76	$81.84	$87.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $83.91 / $151.66	Professional		$55.26	$83.91	$151.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.67 / $103.67 / $190.49	Facility		$103.67	$103.67	$190.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $139.94 / $180.00	Professional		$103.67	$139.94	$180.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $99.39 / $121.98	Professional		$90.36	$99.39	$121.98
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $65.48 / $148.88	Professional		$45.83	$65.48	$148.88