Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $139.19 / $139.19	Facility		$139.19	$139.19	$139.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $147.90	Professional		$139.19	$139.19	$147.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.95 / $189.91 / $378.54	Facility		$122.95	$189.91	$378.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $52.00 / $67.50	Professional		$47.50	$52.00	$67.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $40.58 / $174.00	Facility		$35.29	$40.58	$174.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $36.01 / $139.19	Professional		$35.29	$36.01	$139.19
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 $145.00 / $145.00 / $156.28	Professional		$145.00	$145.00	$156.28