Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.50 / $206.07 / $315.83	Facility		$105.50	$206.07	$315.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.16 / $206.07 / $275.48	Professional		$187.16	$206.07	$275.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.37 / $224.25 / $390.45	Facility		$160.37	$224.25	$390.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $276.02 / $368.20	Professional		$152.33	$276.02	$368.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $167.27 / $372.06	Professional		$106.86	$167.27	$372.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $105.50 / $141.04 / $294.13	Facility		$105.50	$141.04	$294.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.79 / $294.13 / $388.54	Professional		$208.79	$294.13	$388.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $129.91 / $246.79	Professional		$93.11	$129.91	$246.79
United Facility/Professional Facility Modifier Low / Median / High Price $69.19 / $656.15 / $656.15	Facility		$69.19	$656.15	$656.15
United Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $246.24 / $340.45	Professional		$139.44	$246.24	$340.45