Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $102.99 / $102.99	Facility		$87.10	$102.99	$102.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $87.10 / $105.43	Professional		$68.25	$87.10	$105.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.99 / $125.99 / $125.99	Facility		$125.99	$125.99	$125.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $132.29 / $157.49	Professional		$119.69	$132.29	$157.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $113.83 / $279.06	Professional		$79.36	$113.83	$279.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $103.87 / $132.93	Facility		$87.10	$103.87	$132.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $103.87 / $133.72	Professional		$77.89	$103.87	$133.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $169.93	Professional		$30.00	$75.00	$169.93
United Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $117.51 / $160.25	Professional		$94.40	$117.51	$160.25