Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.23 / $192.23 / $192.23	Facility		$192.23	$192.23	$192.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.98 / $192.23 / $192.23	Professional		$113.98	$192.23	$192.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $256.26 / $445.39	Facility		$179.32	$256.26	$445.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $207.83 / $281.19	Professional		$83.66	$207.83	$281.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.66 / $185.66 / $185.66	Facility		$185.66	$185.66	$185.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $176.44 / $352.89	Professional		$123.23	$176.44	$352.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.34 / $123.34 / $192.23	Facility		$123.34	$123.34	$192.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $161.44 / $245.67	Professional		$123.34	$161.44	$245.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $116.15 / $192.46	Professional		$35.58	$116.15	$192.46
United Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $157.71 / $230.81	Professional		$127.12	$157.71	$230.81