Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.09 / $143.09 / $144.49	Facility		$143.09	$143.09	$144.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $135.19 / $159.27	Professional		$56.01	$135.19	$159.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $105.08	Facility		$105.08	$105.08	$105.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $110.33 / $141.86	Professional		$99.83	$110.33	$141.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $171.32 / $209.12	Professional		$102.38	$171.32	$209.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.62 / $141.62 / $143.09	Facility		$141.62	$141.62	$143.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $141.78 / $167.06	Professional		$76.19	$141.78	$167.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $137.69 / $137.69	Professional		$55.00	$137.69	$137.69
United Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $156.01 / $209.45	Professional		$134.74	$156.01	$209.45