Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.48 / $118.48 / $148.10	Facility		$118.48	$118.48	$148.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $118.48 / $118.48	Professional		$115.97	$118.48	$118.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $34.13 / $60.69	Facility		$24.00	$34.13	$60.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $22.91 / $30.93	Professional		$21.76	$22.91	$30.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $119.36 / $149.19	Professional		$54.68	$119.36	$149.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $90.33 / $118.48 / $217.71	Facility		$90.33	$118.48	$217.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $90.33 / $106.63 / $163.56	Professional		$90.33	$106.63	$163.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $640.29 / $1,099.35 / $2,299.48	Facility		$640.29	$1,099.35	$2,299.48
United Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $57.66 / $87.48	Professional		$41.12	$57.66	$87.48