Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.58 / $115.58 / $360.61	Facility		$115.58	$115.58	$360.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $115.58 / $115.58	Professional		$92.25	$115.58	$115.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $105.97 / $188.44	Facility		$76.95	$105.97	$188.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $71.14 / $85.37	Professional		$67.58	$71.14	$85.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $296.27	Professional		$128.69	$128.69	$296.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $115.58 / $321.60 / $348.56	Facility		$115.58	$321.60	$348.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $115.58 / $348.56 / $418.27	Professional		$115.58	$348.56	$418.27
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 $259.31 / $259.31 / $311.17	Professional		$259.31	$259.31	$311.17