Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $141.94 / $141.94	Facility		$141.94	$141.94	$141.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $141.94 / $141.94	Professional		$28.15	$141.94	$141.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.75 / $184.75 / $184.75	Facility		$184.75	$184.75	$184.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.51 / $192.14 / $249.41	Professional		$175.51	$192.14	$249.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $133.55 / $545.28	Professional		$82.72	$133.55	$545.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $141.94	Facility		$98.15	$98.15	$141.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $114.83 / $171.85	Professional		$98.15	$114.83	$171.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $134.49 / $189.44	Professional		$108.39	$134.49	$189.44
United Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $118.03 / $159.55	Professional		$99.14	$118.03	$159.55