Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.03 / $131.28 / $405.69	Facility		$130.03	$131.28	$405.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $131.28 / $152.75	Professional		$127.45	$131.28	$152.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.05 / $277.97 / $529.66	Facility		$148.05	$277.97	$529.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $129.85 / $129.85	Professional		$123.36	$129.85	$129.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $141.63	Professional		$127.45	$127.45	$141.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $215.54 / $361.81	Facility		$127.45	$215.54	$361.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $130.03 / $152.94	Professional		$127.45	$130.03	$152.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.17 / $146.56 / $151.17	Professional		$145.17	$146.56	$151.17
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $135.22	Professional		$127.45	$127.45	$135.22