Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $120.81 / $150.03	Facility		$120.81	$120.81	$150.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $110.71 / $150.03	Professional		$87.59	$110.71	$150.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.67 / $170.81 / $380.43	Facility		$77.67	$170.81	$380.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.30 / $179.35 / $213.51	Professional		$160.30	$179.35	$213.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $137.79 / $365.22	Professional		$101.75	$137.79	$365.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $114.50 / $117.70 / $150.03	Facility		$114.50	$117.70	$150.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $120.81 / $167.29	Professional		$107.40	$120.81	$167.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $102.21 / $147.25	Professional		$81.16	$102.21	$147.25
United Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $132.79 / $170.04	Professional		$109.72	$132.79	$170.04