Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.41 / $125.41 / $388.00	Facility		$125.41	$125.41	$388.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $112.99 / $130.51	Professional		$92.34	$112.99	$130.51
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 / $107.43 / $208.77	Professional		$107.43	$107.43	$208.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.41 / $130.91 / $130.91	Facility		$125.41	$130.91	$130.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $129.52 / $146.63	Professional		$99.31	$129.52	$146.63
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 $121.13 / $145.83 / $180.82	Professional		$121.13	$145.83	$180.82