Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.81 / $229.81 / $358.50	Facility		$229.81	$229.81	$358.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.03 / $229.81 / $229.81	Professional		$208.03	$229.81	$229.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.16 / $161.16 / $169.64	Facility		$161.16	$161.16	$169.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $169.64 / $188.69	Professional		$161.16	$169.64	$188.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $178.69 / $368.60	Professional		$123.01	$178.69	$368.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.81 / $229.81 / $422.28	Facility		$229.81	$229.81	$422.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $280.95 / $325.91	Professional		$229.81	$280.95	$325.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.29 / $220.31 / $360.52	Professional		$200.29	$220.31	$360.52
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $145.13 / $298.64	Professional		$101.60	$145.13	$298.64