Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.55 / $192.28 / $299.95	Facility		$186.55	$192.28	$299.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $192.28 / $192.28	Professional		$161.91	$192.28	$192.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.19 / $228.94 / $402.10	Facility		$164.19	$228.94	$402.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $151.80 / $162.43	Professional		$144.21	$151.80	$162.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $113.34 / $281.72	Professional		$92.63	$113.34	$281.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $186.55 / $192.28 / $353.31	Facility		$186.55	$192.28	$353.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $190.42 / $192.28 / $242.88	Professional		$190.42	$192.28	$242.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.59 / $184.34 / $301.66	Professional		$167.59	$184.34	$301.66
United Facility/Professional Facility Modifier Low / Median / High Price $85.01 / $182.16 / $242.88	Facility		$85.01	$182.16	$242.88
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $202.40	Professional		$85.01	$121.44	$202.40