Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $142.69 / $142.69	Professional		$88.28	$142.69	$142.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $191.37 / $246.05	Professional		$173.15	$191.37	$246.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $108.92 / $505.86	Professional		$108.92	$108.92	$505.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.97 / $117.34 / $158.40	Professional		$116.97	$117.34	$158.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $130.29 / $177.36	Professional		$107.78	$130.29	$177.36
United Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $149.97 / $203.55	Professional		$119.22	$149.97	$203.55