Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.90 / $142.90 / $1,987.97	Facility		$142.90	$142.90	$1,987.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $142.90 / $208.11	Professional		$138.74	$142.90	$208.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.11 / $435.64 / $872.15	Facility		$283.11	$435.64	$872.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $89.64 / $121.01	Professional		$14.48	$89.64	$121.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $173.67	Professional		$138.74	$138.74	$173.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $143.15 / $936.42	Facility		$138.74	$143.15	$936.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $187.29	Professional		$138.74	$138.74	$187.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $170.22 / $208.11	Professional		$136.18	$170.22	$208.11
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $149.53	Professional		$138.74	$138.74	$149.53