Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.06 / $169.06 / $169.06	Facility		$169.06	$169.06	$169.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $169.06 / $169.06	Professional		$95.40	$169.06	$169.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.78 / $684.51 / $1,313.45	Facility		$349.78	$684.51	$1,313.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $234.09 / $303.87	Professional		$213.84	$234.09	$303.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.01 / $147.02 / $627.54	Professional		$100.01	$147.02	$627.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $169.06	Facility		$124.31	$124.31	$169.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $144.87 / $200.22	Professional		$124.31	$144.87	$200.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $134.17 / $189.44	Professional		$108.39	$134.17	$189.44
United Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $142.52 / $181.48	Professional		$107.46	$142.52	$181.48