Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.65 / $150.65 / $150.65	Facility		$150.65	$150.65	$150.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $150.65 / $196.56	Professional		$120.01	$150.65	$196.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $61.25 / $133.46	Facility		$61.25	$61.25	$133.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $166.83 / $233.65	Professional		$64.31	$166.83	$233.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $240.27 / $345.91	Professional		$118.09	$240.27	$345.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $150.65 / $160.31 / $160.31	Facility		$150.65	$160.31	$160.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $160.31 / $208.20	Professional		$130.00	$160.31	$208.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $110.85 / $167.46	Professional		$35.83	$110.85	$167.46
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $159.91 / $225.24	Professional		$128.66	$159.91	$225.24