Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.64 / $137.38 / $261.02	Facility		$123.64	$137.38	$261.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $133.25 / $137.38	Professional		$108.46	$133.25	$137.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $163.58 / $287.30	Facility		$117.31	$163.58	$287.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.04 / $108.46 / $116.05	Professional		$103.04	$108.46	$116.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $144.61 / $325.37	Professional		$73.34	$144.61	$325.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $137.38 / $329.81	Facility		$130.51	$137.38	$329.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $165.95 / $216.92	Professional		$122.92	$165.95	$216.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.74 / $131.71 / $161.64	Professional		$119.74	$131.71	$161.64
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $170.98 / $225.27	Professional		$86.77	$170.98	$225.27