Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $184.15 / $333.72	Facility		$144.41	$184.15	$333.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $140.83 / $222.11	Professional		$104.96	$140.83	$222.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.20 / $254.00 / $581.61	Facility		$174.20	$254.00	$581.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $158.94 / $271.06	Professional		$28.44	$158.94	$271.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $148.19 / $257.45	Professional		$103.48	$148.19	$257.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $144.28 / $184.15 / $333.72	Facility		$144.28	$184.15	$333.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $153.07 / $241.74	Professional		$123.03	$153.07	$241.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $135.99 / $193.70	Professional		$109.37	$135.99	$193.70
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,209.00 / $1,844.00	Facility		$300.00	$1,209.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $175.86 / $244.02	Professional		$142.77	$175.86	$244.02