Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.10 / $1,503.65 / $4,439.28	Facility		$102.10	$1,503.65	$4,439.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $102.10 / $207.42	Professional		$99.12	$102.10	$207.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.26 / $216.65 / $409.83	Facility		$120.26	$216.65	$409.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $100.99 / $100.99	Professional		$95.94	$100.99	$100.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $339.77	Professional		$99.13	$99.13	$339.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.09 / $297.23 / $4,725.68	Facility		$102.09	$297.23	$4,725.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $102.10 / $128.63	Professional		$99.13	$102.10	$128.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $119.26 / $129.83	Professional		$113.99	$119.26	$129.83
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $110.35 / $126.90	Professional		$99.13	$110.35	$126.90