Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $135.86 / $135.86	Facility		$135.86	$135.86	$135.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $135.86 / $135.86	Professional		$131.90	$135.86	$135.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $134.38 / $134.38	Facility		$4.09	$134.38	$134.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.66 / $139.76 / $181.41	Professional		$127.66	$139.76	$181.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $131.90 / $167.98	Professional		$118.28	$131.90	$167.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $135.86 / $351.30	Facility		$131.90	$135.86	$351.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $164.87	Professional		$131.90	$131.90	$164.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $164.87 / $214.29	Professional		$131.90	$164.87	$214.29
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $142.16	Professional		$131.90	$131.90	$142.16