Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.79 / $220.51 / $220.51	Facility		$191.79	$220.51	$220.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $220.51 / $220.51	Professional		$173.44	$220.51	$220.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.77 / $352.25 / $626.39	Facility		$255.77	$352.25	$626.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $243.17 / $307.16	Professional		$34.86	$243.17	$307.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.68 / $291.35 / $394.83	Professional		$149.68	$291.35	$394.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $138.15 / $138.15 / $220.51	Facility		$138.15	$138.15	$220.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.15 / $164.20 / $273.99	Professional		$138.15	$164.20	$273.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $146.41 / $197.31	Professional		$114.24	$146.41	$197.31
United Facility/Professional Professional Modifier Low / Median / High Price $144.09 / $180.99 / $242.52	Professional		$144.09	$180.99	$242.52