Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.59 / $109.59 / $170.96	Facility		$109.59	$109.59	$170.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $94.60 / $191.78	Professional		$92.29	$94.60	$191.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.19 / $129.31 / $229.18	Facility		$90.19	$129.31	$229.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $86.52 / $92.58	Professional		$82.19	$86.52	$92.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $132.57 / $175.53	Professional		$58.61	$132.57	$175.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $104.11 / $109.59 / $201.37	Facility		$104.11	$109.59	$201.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $153.59 / $175.86	Professional		$103.82	$153.59	$175.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $95.51 / $128.93	Professional		$75.00	$95.51	$128.93
United Facility/Professional Facility Modifier Low / Median / High Price $57.68 / $115.36 / $115.36	Facility		$57.68	$115.36	$115.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $94.43 / $127.47	Professional		$48.45	$94.43	$127.47