Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.74 / $115.74 / $115.74	Facility		$115.74	$115.74	$115.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $115.74 / $127.82	Professional		$70.89	$115.74	$127.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.54 / $458.34 / $871.16	Facility		$220.54	$458.34	$871.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $158.07 / $205.19	Professional		$144.38	$158.07	$205.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $223.84	Professional		$62.01	$62.01	$223.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.57 / $103.57 / $115.74	Facility		$103.57	$103.57	$115.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $103.57 / $182.38	Professional		$103.57	$103.57	$182.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $98.17 / $160.65	Professional		$89.25	$98.17	$160.65
United Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $71.38 / $112.62	Professional		$57.87	$71.38	$112.62