Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.82 / $136.82 / $342.05	Facility		$136.82	$136.82	$342.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $136.82 / $145.58	Professional		$102.89	$136.82	$145.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $151.25 / $268.97	Facility		$109.83	$151.25	$268.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $101.54 / $121.85	Professional		$96.46	$101.54	$121.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $1,844.67	Professional		$143.26	$143.26	$1,844.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $139.28 / $1,274.80 / $2,170.19	Facility		$139.28	$1,274.80	$2,170.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $2,170.19 / $2,604.23	Professional		$136.82	$2,170.19	$2,604.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,339.04	Professional		$2,170.19	$2,170.19	$2,339.04