Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.37 / $60.37 / $123.96	Facility		$60.37	$60.37	$123.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $112.75 / $156.18	Professional		$98.46	$112.75	$156.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.86 / $156.86 / $156.86	Facility		$156.86	$156.86	$156.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $164.70 / $196.08	Professional		$149.02	$164.70	$196.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $165.79 / $441.69	Professional		$92.54	$165.79	$441.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.54 / $60.37 / $115.97	Facility		$50.54	$60.37	$115.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $103.19 / $118.68 / $156.55	Professional		$103.19	$118.68	$156.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $101.76 / $147.54	Professional		$82.26	$101.76	$147.54
United Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $127.58 / $181.70	Professional		$109.37	$127.58	$181.70