Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.60 / $161.91 / $161.91	Facility		$136.60	$161.91	$161.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $161.91 / $161.91	Professional		$122.47	$161.91	$161.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.83 / $367.53 / $725.17	Facility		$204.83	$367.53	$725.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.11 / $206.01 / $412.02	Professional		$140.11	$206.01	$412.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.55 / $276.08 / $412.81	Professional		$162.55	$276.08	$412.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $136.60 / $148.35 / $161.91	Facility		$136.60	$148.35	$161.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $148.35 / $239.89	Professional		$141.13	$148.35	$239.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $107.91 / $151.36	Professional		$34.19	$107.91	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $377.12 / $377.12 / $377.12	Facility		$377.12	$377.12	$377.12
United Facility/Professional Professional Modifier Low / Median / High Price $135.33 / $171.75 / $257.88	Professional		$135.33	$171.75	$257.88