Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.69 / $152.69 / $280.86	Facility		$152.69	$152.69	$280.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $152.69 / $152.69	Professional		$103.62	$152.69	$152.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $125.77 / $222.90	Facility		$91.02	$125.77	$222.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $185.45 / $234.25	Professional		$78.68	$185.45	$234.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $219.19 / $307.80	Professional		$114.56	$219.19	$307.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.67 / $130.22 / $280.86	Facility		$58.67	$130.22	$280.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $127.30 / $143.25 / $201.50	Professional		$127.30	$143.25	$201.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $81.02 / $147.80	Professional		$56.36	$81.02	$147.80
United Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $171.35 / $227.04	Professional		$135.96	$171.35	$227.04