Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.08 / $177.38 / $177.38	Facility		$158.08	$177.38	$177.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $177.38 / $177.38	Professional		$142.10	$177.38	$177.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.47 / $326.07 / $579.84	Facility		$235.47	$326.07	$579.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $228.57 / $274.27	Professional		$23.90	$228.57	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.01 / $292.27 / $461.83	Professional		$166.01	$292.27	$461.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $158.08 / $165.41 / $177.38	Facility		$158.08	$165.41	$177.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $165.41 / $271.07	Professional		$156.97	$165.41	$271.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $129.38 / $169.65	Professional		$106.09	$129.38	$169.65
United Facility/Professional Facility Modifier Low / Median / High Price $314.95 / $314.95 / $314.95	Facility		$314.95	$314.95	$314.95
United Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $185.97 / $246.38	Professional		$149.69	$185.97	$246.38