Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $125.79 / $359.10	Facility		$100.63	$125.79	$359.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $119.16 / $275.24	Professional		$100.63	$119.16	$275.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.97 / $130.97 / $130.97	Facility		$130.97	$130.97	$130.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.42 / $124.42 / $130.97	Professional		$124.42	$124.42	$130.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $209.54	Professional		$114.54	$114.54	$209.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $176.10 / $573.60	Facility		$114.54	$176.10	$573.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $117.97 / $262.25	Professional		$100.63	$117.97	$262.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $131.72 / $144.09	Professional		$112.35	$131.72	$144.09
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $121.52	Professional		$114.54	$114.54	$121.52