Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.87 / $108.10 / $337.27	Facility		$107.87	$108.10	$337.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $107.87 / $126.99	Professional		$104.73	$107.87	$126.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.46 / $233.21 / $441.17	Facility		$129.46	$233.21	$441.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.37 / $106.70 / $106.70	Professional		$101.37	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $104.73 / $104.73	Professional		$95.52	$104.73	$104.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $135.13 / $300.79	Facility		$104.73	$135.13	$300.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $107.87 / $125.67	Professional		$104.73	$107.87	$125.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $120.43 / $120.69	Professional		$115.57	$120.43	$120.69
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $111.11	Professional		$104.73	$104.73	$111.11