Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.95 / $103.95 / $269.00	Facility		$103.95	$103.95	$269.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $103.83 / $116.61	Professional		$75.77	$103.83	$116.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.87 / $154.87 / $154.87	Facility		$154.87	$154.87	$154.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $154.87 / $193.59	Professional		$139.38	$154.87	$193.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $114.00 / $265.86	Professional		$92.55	$114.00	$265.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.95 / $107.72 / $107.72	Facility		$103.95	$107.72	$107.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $107.72 / $131.32	Professional		$96.56	$107.72	$131.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $101.35 / $144.16	Professional		$82.15	$101.35	$144.16
United Facility/Professional Professional Modifier Low / Median / High Price $104.57 / $121.08 / $168.82	Professional		$104.57	$121.08	$168.82