Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.52 / $145.83 / $227.50	Facility		$41.52	$145.83	$227.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $145.83 / $159.71	Professional		$125.87	$145.83	$159.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.01 / $172.07 / $304.97	Facility		$120.01	$172.07	$304.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $115.13 / $155.43	Professional		$78.29	$115.13	$155.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $176.76 / $220.96	Professional		$89.80	$176.76	$220.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $145.83 / $267.95	Facility		$20.30	$145.83	$267.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $145.83 / $184.20	Professional		$20.30	$145.83	$184.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $127.10 / $171.58	Professional		$114.39	$127.10	$171.58
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $92.10 / $98.24	Professional		$64.47	$92.10	$98.24