Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.35 / $103.35 / $103.35	Facility		$103.35	$103.35	$103.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $90.72 / $110.95	Professional		$79.88	$90.72	$110.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.47 / $130.47 / $130.47	Facility		$130.47	$130.47	$130.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $139.54 / $163.09	Professional		$122.37	$139.54	$163.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $107.53 / $226.34	Professional		$82.51	$107.53	$226.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $87.24 / $87.24 / $103.35	Facility		$87.24	$87.24	$103.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $94.33 / $125.92	Professional		$83.04	$94.33	$125.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $98.04 / $133.67	Professional		$81.05	$98.04	$133.67
United Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $102.01 / $147.56	Professional		$83.15	$102.01	$147.56