Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.09 / $197.09 / $307.45	Facility		$197.09	$197.09	$307.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.42 / $197.09 / $197.09	Professional		$178.42	$197.09	$197.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $234.68 / $412.17	Facility		$168.30	$234.68	$412.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.82 / $155.60 / $166.49	Professional		$147.82	$155.60	$166.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $170.08 / $320.14	Professional		$105.20	$170.08	$320.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $197.09 / $197.09 / $362.15	Facility		$197.09	$197.09	$362.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $178.42 / $266.05 / $287.33	Professional		$178.42	$266.05	$287.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.77 / $188.94 / $231.88	Professional		$171.77	$188.94	$231.88
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $169.82 / $283.02	Professional		$87.13	$169.82	$283.02