Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $119.61 / $119.61	Facility		$108.80	$119.61	$119.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $119.61 / $119.61	Professional		$108.80	$119.61	$119.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.30 / $256.33 / $484.92	Facility		$142.30	$256.33	$484.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $111.42 / $117.28	Professional		$111.42	$111.42	$117.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $131.35 / $131.35	Professional		$30.63	$131.35	$131.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.67 / $119.61	Facility		$31.08	$31.67	$119.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $37.29 / $119.61	Professional		$31.08	$37.29	$119.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $140.74 / $145.43	Professional		$117.28	$140.74	$145.43