Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.16 / $221.16 / $221.16	Facility		$221.16	$221.16	$221.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $221.16 / $221.16	Professional		$113.09	$221.16	$221.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $30.89 / $54.94	Facility		$21.72	$30.89	$54.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $20.36 / $26.18	Professional		$18.42	$20.36	$26.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $182.29 / $182.29	Professional		$51.53	$182.29	$182.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $116.23 / $116.23 / $221.16	Facility		$116.23	$116.23	$221.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $133.08 / $286.30	Professional		$116.23	$133.08	$286.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $42.59 / $81.47	Professional		$24.69	$42.59	$81.47
United Facility/Professional Professional Modifier Low / Median / High Price $121.67 / $184.75 / $309.64	Professional		$121.67	$184.75	$309.64