Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $115.58 / $498.84	Professional		$95.19	$115.58	$498.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.87 / $142.87 / $142.87	Facility		$142.87	$142.87	$142.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $150.01 / $192.87	Professional		$135.72	$150.01	$192.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $207.19	Professional		$58.29	$58.29	$207.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $114.33 / $125.10	Professional		$94.18	$114.33	$125.10
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 $47.44 / $67.09 / $111.81	Professional		$47.44	$67.09	$111.81