Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Facility		$265.58	$265.58	$265.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $265.58 / $265.58	Professional		$156.94	$265.58	$265.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.18 / $360.07 / $640.29	Facility		$253.18	$360.07	$640.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $46.02 / $59.17	Professional		$37.26	$46.02	$59.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.77 / $90.77 / $90.77	Facility		$90.77	$90.77	$90.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $103.92 / $186.14	Professional		$69.16	$103.92	$186.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $68.80 / $265.58	Facility		$68.80	$68.80	$265.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $112.04 / $265.58	Professional		$68.80	$112.04	$265.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $36.46 / $57.83	Professional		$28.11	$36.46	$57.83
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $251.66 / $394.28	Professional		$89.75	$251.66	$394.28