Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.98 / $148.16 / $148.16	Facility		$113.98	$148.16	$148.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $98.34 / $118.36	Professional		$45.95	$98.34	$118.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $176.87 / $334.50	Facility		$107.92	$176.87	$334.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $136.68	Professional		$78.08	$78.08	$136.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $92.96 / $148.16	Facility		$92.96	$92.96	$148.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $93.96 / $125.49	Professional		$92.96	$93.96	$125.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $107.61 / $156.08	Professional		$84.77	$107.61	$156.08