Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $186.46 / $210.43	Professional		$101.95	$186.46	$210.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.23 / $251.23 / $251.23	Facility		$251.23	$251.23	$251.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.67 / $263.79 / $339.16	Professional		$238.67	$263.79	$339.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $364.22	Professional		$108.53	$108.53	$364.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $186.46 / $231.69	Professional		$150.88	$186.46	$231.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $115.88 / $179.81	Professional		$88.32	$115.88	$179.81