Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.22 / $157.22 / $397.33	Facility		$157.22	$157.22	$397.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $157.22 / $157.22	Professional		$142.34	$157.22	$157.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.26 / $187.21 / $328.81	Facility		$134.26	$187.21	$328.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.92 / $124.13 / $132.82	Professional		$117.92	$124.13	$132.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $99.68 / $251.93	Professional		$75.79	$99.68	$251.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $155.96 / $157.22 / $397.33	Facility		$155.96	$157.22	$397.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $155.96 / $204.51	Professional		$147.44	$155.96	$204.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $150.74 / $185.00	Professional		$137.04	$150.74	$185.00
United Facility/Professional Facility Modifier Low / Median / High Price $69.51 / $148.96 / $198.61	Facility		$69.51	$148.96	$198.61
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $99.31 / $165.92	Professional		$69.51	$99.31	$165.92