Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.16 / $129.07 / $201.35	Facility		$116.16	$129.07	$201.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $98.21 / $186.57	Professional		$98.21	$98.21	$186.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.28 / $95.28 / $95.28	Facility		$95.28	$95.28	$95.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $95.28 / $128.63	Professional		$64.79	$95.28	$128.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.46 / $156.11 / $195.14	Professional		$104.46	$156.11	$195.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $119.35 / $129.07 / $237.17	Facility		$119.35	$129.07	$237.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $180.88 / $190.20	Professional		$120.65	$180.88	$190.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $112.49 / $151.86	Professional		$30.00	$112.49	$151.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $81.52 / $176.62	Professional		$40.86	$81.52	$176.62