Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.52 / $127.52 / $127.52	Facility		$127.52	$127.52	$127.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $127.52 / $129.99	Professional		$123.80	$127.52	$129.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.96 / $107.96 / $107.96	Facility		$107.96	$107.96	$107.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $112.28 / $145.75	Professional		$102.56	$112.28	$145.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $223.98	Professional		$123.80	$123.80	$223.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $127.52 / $270.00	Facility		$123.80	$127.52	$270.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $154.75	Professional		$123.80	$123.80	$154.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $141.27 / $192.64	Professional		$30.00	$141.27	$192.64
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $133.43	Professional		$123.80	$123.80	$133.43