Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.31 / $127.55 / $127.55	Facility		$93.31	$127.55	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $140.30 / $231.40	Professional		$115.70	$140.30	$231.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.66 / $262.42 / $496.41	Facility		$145.66	$262.42	$496.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $114.06 / $120.06	Professional		$114.06	$114.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $134.47 / $134.47	Professional		$60.08	$134.47	$134.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $101.09 / $127.55 / $143.32	Facility		$101.09	$127.55	$143.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $118.20 / $127.55 / $202.80	Professional		$118.20	$127.55	$202.80
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 $120.06 / $135.66 / $148.43	Professional		$120.06	$135.66	$148.43