Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.86 / $175.86 / $274.33	Facility		$175.86	$175.86	$274.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $175.86 / $175.86	Professional		$159.19	$175.86	$175.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.23 / $279.20 / $490.36	Facility		$200.23	$279.20	$490.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.86 / $185.12 / $198.08	Professional		$175.86	$185.12	$198.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $93.76 / $725.00	Professional		$74.05	$93.76	$725.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $175.86 / $175.86 / $1,672.48	Facility		$175.86	$175.86	$1,672.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $175.86 / $1,325.00 / $1,672.48	Professional		$175.86	$1,325.00	$1,672.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.28 / $168.60 / $206.92	Professional		$153.28	$168.60	$206.92
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $111.07 / $185.12	Professional		$77.75	$111.07	$185.12