Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.07 / $166.07 / $262.22	Facility		$166.07	$166.07	$262.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $166.07 / $166.07	Professional		$150.34	$166.07	$166.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.81 / $197.74 / $347.30	Facility		$141.81	$197.74	$347.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $131.11 / $140.29	Professional		$124.55	$131.11	$140.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $94.99 / $243.02	Professional		$74.29	$94.99	$243.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.46 / $166.07 / $305.14	Facility		$164.46	$166.07	$305.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.46 / $166.07 / $209.77	Professional		$164.46	$166.07	$209.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $159.21 / $260.53	Professional		$144.74	$159.21	$260.53
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $174.81	Professional		$73.42	$104.89	$174.81