Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.09 / $164.09 / $1,153.17	Facility		$164.09	$164.09	$1,153.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $164.09 / $164.09	Professional		$138.18	$164.09	$164.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.12 / $195.39 / $343.16	Facility		$140.12	$195.39	$343.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $129.55 / $138.62	Professional		$123.07	$129.55	$138.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $122.50 / $263.29	Professional		$79.09	$122.50	$263.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.09 / $191.50 / $1,153.17	Facility		$164.09	$191.50	$1,153.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $147.68 / $191.50 / $222.14	Professional		$147.68	$191.50	$222.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.02 / $157.32 / $193.07	Professional		$143.02	$157.32	$193.07
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $122.23 / $203.72	Professional		$72.55	$122.23	$203.72