Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.06 / $134.74 / $134.74	Facility		$101.06	$134.74	$134.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $110.23 / $135.34	Professional		$78.23	$110.23	$135.34
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $108.09 / $108.09 / $108.09	Professional	25	$108.09	$108.09	$108.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.71 / $193.71 / $193.71	Facility		$193.71	$193.71	$193.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.02 / $193.71 / $215.47	Professional		$184.02	$193.71	$215.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $149.00 / $194.33	Professional		$87.38	$149.00	$194.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $98.70 / $134.74 / $134.74	Facility		$98.70	$134.74	$134.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $120.25 / $170.40	Professional		$89.83	$120.25	$170.40
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $108.09 / $108.09 / $108.09	Professional	25	$108.09	$108.09	$108.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $130.87 / $153.81	Professional		$124.00	$130.87	$153.81
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $107.62 / $146.29	Professional		$79.29	$107.62	$146.29