Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.25 / $131.25 / $306.00	Facility		$131.25	$131.25	$306.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $115.82 / $131.25	Professional		$98.63	$115.82	$131.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.23 / $190.23 / $190.23	Facility		$190.23	$190.23	$190.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.21 / $190.23 / $237.79	Professional		$171.21	$190.23	$237.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $145.22 / $227.17	Professional		$139.38	$145.22	$227.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.58 / $130.58 / $131.25	Facility		$130.58	$130.58	$131.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $103.19 / $130.58 / $181.04	Professional		$103.19	$130.58	$181.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $134.94 / $189.34	Professional		$109.20	$134.94	$189.34
United Facility/Professional Professional Modifier Low / Median / High Price $125.71 / $145.30 / $192.60	Professional		$125.71	$145.30	$192.60