Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.53 / $106.02 / $326.13	Facility		$104.53	$106.02	$326.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $106.02 / $122.80	Professional		$102.94	$106.02	$122.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.24 / $229.21 / $433.61	Facility		$127.24	$229.21	$433.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.63 / $104.87 / $104.87	Professional		$99.63	$104.87	$104.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $137.40	Professional		$102.94	$102.94	$137.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $182.93 / $326.13	Facility		$102.94	$182.93	$326.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $104.53 / $123.52	Professional		$102.94	$104.53	$123.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $152.23 / $166.02	Professional		$30.00	$152.23	$166.02
United Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $102.93 / $102.93	Facility		$102.93	$102.93	$102.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $109.21	Professional		$102.94	$102.94	$109.21