Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.78 / $144.65 / $216.06	Facility		$98.78	$144.65	$216.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $98.78 / $113.27	Professional		$95.90	$98.78	$113.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.41 / $209.17 / $398.56	Facility		$111.41	$209.17	$398.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $74.59 / $96.82	Professional		$68.13	$74.59	$96.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $203.31	Professional		$95.90	$95.90	$203.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $216.98 / $309.61	Facility		$95.90	$216.98	$309.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $98.78 / $130.93	Professional		$95.90	$98.78	$130.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $129.46 / $196.37	Professional		$95.90	$129.46	$196.37
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $106.76 / $166.53	Professional		$95.90	$106.76	$166.53