Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.36 / $89.66 / $224.15	Facility		$76.36	$89.66	$224.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $89.66 / $102.33	Professional		$89.66	$89.66	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.23 / $166.95 / $296.89	Facility		$121.23	$166.95	$296.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $112.08 / $134.50	Professional		$106.48	$112.08	$134.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $112.08 / $414.35	Facility		$89.65	$112.08	$414.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $106.00 / $127.20	Professional		$89.66	$106.00	$127.20
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 $100.00 / $100.00 / $108.00	Professional		$100.00	$100.00	$108.00