Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $189.38 / $189.38	Facility		$189.38	$189.38	$189.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $189.38 / $189.38	Professional		$136.55	$189.38	$189.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.76 / $59.76 / $59.76	Facility		$59.76	$59.76	$59.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $184.25 / $230.31	Professional		$56.77	$184.25	$230.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $159.57 / $159.57	Facility		$159.57	$159.57	$159.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.66 / $248.69 / $448.75	Professional		$119.66	$248.69	$448.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.58 / $169.98 / $189.38	Facility		$141.58	$169.98	$189.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $169.98 / $227.24	Professional		$133.44	$169.98	$227.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $81.13 / $158.16	Professional		$36.29	$81.13	$158.16
United Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $235.12 / $307.83	Professional		$188.10	$235.12	$307.83