Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.21 / $203.89 / $318.07	Facility		$191.21	$203.89	$318.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.57 / $203.89 / $203.89	Professional		$184.57	$203.89	$203.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.11 / $242.77 / $426.39	Facility		$174.11	$242.77	$426.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $160.97 / $172.24	Professional		$152.91	$160.97	$172.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $122.84 / $298.82	Professional		$98.24	$122.84	$298.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $203.89 / $203.89 / $374.65	Facility		$203.89	$203.89	$374.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $184.57 / $206.26 / $270.45	Professional		$184.57	$206.26	$270.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.71 / $195.48 / $239.90	Professional		$177.71	$195.48	$239.90
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $131.66 / $219.43	Professional		$90.14	$131.66	$219.43