Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.02 / $107.72 / $336.09	Facility		$92.02	$107.72	$336.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $92.02 / $109.66	Professional		$89.34	$92.02	$109.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.87 / $191.25 / $364.42	Facility		$101.87	$191.25	$364.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $66.34 / $86.13	Professional		$60.61	$66.34	$86.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $142.50	Professional		$89.34	$89.34	$142.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $209.16 / $299.73	Facility		$89.34	$209.16	$299.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $92.02 / $126.54	Professional		$89.34	$92.02	$126.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $118.75 / $160.81	Professional		$89.34	$118.75	$160.81
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $99.45 / $110.79	Professional		$89.34	$99.45	$110.79