Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.83 / $121.83 / $329.00	Facility		$121.83	$121.83	$329.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $121.78 / $134.97	Professional		$88.85	$121.78	$134.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.77 / $179.77 / $179.77	Facility		$179.77	$179.77	$179.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $179.77 / $224.71	Professional		$161.79	$179.77	$224.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $133.13 / $312.69	Professional		$107.43	$133.13	$312.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $121.83 / $129.16 / $129.16	Facility		$121.83	$129.16	$129.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.63 / $129.16 / $154.72	Professional		$112.63	$129.16	$154.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $135.41 / $193.55	Professional		$109.70	$135.41	$193.55
United Facility/Professional Professional Modifier Low / Median / High Price $124.97 / $147.28 / $183.01	Professional		$124.97	$147.28	$183.01