Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.80 / $127.80 / $127.80	Facility		$127.80	$127.80	$127.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $115.09 / $127.80	Professional		$97.04	$115.09	$127.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.86 / $157.86 / $157.86	Facility		$157.86	$157.86	$157.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $165.75 / $197.33	Professional		$149.97	$165.75	$197.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $167.50 / $443.13	Professional		$84.57	$167.50	$443.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $110.51 / $110.51 / $127.80	Facility		$110.51	$110.51	$127.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $115.09 / $149.54	Professional		$104.04	$115.09	$149.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $101.62 / $147.35	Professional		$82.15	$101.62	$147.35
United Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $128.62 / $191.84	Professional		$105.44	$128.62	$191.84