Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.46 / $141.04 / $221.56	Facility		$133.46	$141.04	$221.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $133.47 / $212.22	Professional		$133.46	$133.47	$212.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.44 / $255.90 / $484.09	Facility		$138.44	$255.90	$484.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.23 / $111.23 / $117.08	Professional		$111.23	$111.23	$117.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $131.13 / $131.13	Professional		$91.11	$131.13	$131.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $141.04 / $221.56	Facility		$125.89	$141.04	$221.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $133.47 / $197.60	Professional		$132.66	$133.47	$197.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.49 / $153.49 / $153.49	Professional		$153.49	$153.49	$153.49
United Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $140.50 / $144.75	Professional		$117.08	$140.50	$144.75