Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.01 / $107.01 / $384.00	Facility		$107.01	$107.01	$384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $94.45 / $108.98	Professional		$79.19	$94.45	$108.98
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 / $92.55 / $168.38	Professional		$92.55	$92.55	$168.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.01 / $107.72 / $107.72	Facility		$107.01	$107.72	$107.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $107.72 / $124.18	Professional		$84.45	$107.72	$124.18
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 $103.79 / $121.08 / $150.99	Professional		$103.79	$121.08	$150.99