Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.71 / $184.71 / $184.71	Facility		$184.71	$184.71	$184.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $184.71 / $184.71	Professional		$112.59	$184.71	$184.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.78 / $226.90 / $394.36	Facility		$158.78	$226.90	$394.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $87.85 / $112.94	Professional		$71.12	$87.85	$112.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.55 / $178.55 / $178.55	Facility		$178.55	$178.55	$178.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $190.12 / $377.35	Professional		$125.34	$190.12	$377.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $117.40 / $150.19 / $184.71	Facility		$117.40	$150.19	$184.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $169.58 / $225.52	Professional		$150.19	$169.58	$225.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $37.31 / $83.86	Professional		$32.41	$37.31	$83.86
United Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $168.06 / $223.29	Professional		$142.38	$168.06	$223.29