Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.26 / $133.43 / $419.50	Facility		$113.26	$133.43	$419.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $128.08 / $133.25	Professional		$119.22	$128.08	$133.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.80 / $141.94 / $249.31	Facility		$101.80	$141.94	$249.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $94.12 / $100.71	Professional		$89.41	$94.12	$100.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $138.49 / $282.35	Professional		$63.55	$138.49	$282.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.30 / $130.19 / $378.68	Facility		$107.30	$130.19	$378.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $113.26 / $150.58 / $211.85	Professional		$113.26	$150.58	$211.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $114.29 / $140.26	Professional		$103.90	$114.29	$140.26
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $170.04 / $216.02	Professional		$75.29	$170.04	$216.02