Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $108.24 / $200.60	Facility		$103.09	$108.24	$200.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $101.09 / $111.19	Professional		$100.09	$101.09	$111.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.51 / $205.36 / $415.94	Facility		$106.51	$205.36	$415.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $106.05 / $137.66	Professional		$96.87	$106.05	$137.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $118.03	Professional		$100.09	$100.09	$118.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $134.30 / $287.45	Facility		$100.09	$134.30	$287.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $101.09 / $123.97	Professional		$100.09	$101.09	$123.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $106.85 / $145.71	Professional		$97.14	$106.85	$145.71
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $111.42 / $124.12	Professional		$100.09	$111.42	$124.12