Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.06 / $122.29 / $190.77	Facility		$110.06	$122.29	$190.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.71 / $122.29 / $132.94	Professional		$110.71	$122.29	$132.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.43 / $145.62 / $255.75	Facility		$104.43	$145.62	$255.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $96.55 / $103.31	Professional		$91.72	$96.55	$103.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $105.49 / $196.18	Professional		$65.38	$105.49	$196.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $110.06 / $122.29 / $224.71	Facility		$110.06	$122.29	$224.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $171.38 / $193.10	Professional		$115.86	$171.38	$193.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $117.24 / $143.89	Professional		$106.59	$117.24	$143.89
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $77.23 / $175.62	Professional		$54.07	$77.23	$175.62