Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.81 / $102.97 / $320.77	Facility		$102.81	$102.97	$320.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $102.97 / $120.78	Professional		$99.97	$102.97	$120.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.13 / $218.03 / $415.45	Facility		$116.13	$218.03	$415.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $99.97 / $99.97	Professional		$96.90	$99.97	$99.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $123.37 / $286.07	Facility		$99.97	$123.37	$286.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $102.81 / $119.96	Professional		$99.97	$102.81	$119.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.89 / $114.79 / $114.96	Professional		$113.89	$114.79	$114.96
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $106.06	Professional		$99.97	$99.97	$106.06