Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.05 / $196.43 / $196.43	Facility		$161.05	$196.43	$196.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $196.43 / $196.43	Professional		$156.91	$196.43	$196.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.80 / $331.63 / $589.72	Facility		$240.80	$331.63	$589.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.16 / $239.38 / $269.50	Professional		$59.16	$239.38	$269.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.48 / $307.05 / $476.09	Professional		$195.48	$307.05	$476.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $161.05 / $176.60 / $196.43	Facility		$161.05	$176.60	$196.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $176.60 / $181.29 / $289.14	Professional		$176.60	$181.29	$289.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $138.76 / $189.67	Professional		$34.19	$138.76	$189.67
United Facility/Professional Professional Modifier Low / Median / High Price $180.46 / $218.40 / $296.80	Professional		$180.46	$218.40	$296.80