Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $129.62 / $324.05	Facility		$129.62	$129.62	$324.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $129.62 / $137.72	Professional		$129.62	$129.62	$137.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.92 / $100.43 / $178.59	Facility		$72.92	$100.43	$178.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $67.42 / $80.90	Professional		$64.05	$67.42	$80.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $137.72 / $137.72	Professional		$27.77	$137.72	$137.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $143.12 / $239.80	Facility		$129.62	$143.12	$239.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $143.12 / $171.74	Professional		$129.62	$143.12	$171.74
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 $153.91 / $153.91 / $168.23	Professional		$153.91	$153.91	$168.23