Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.94 / $196.94 / $307.23	Facility		$196.94	$196.94	$307.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $196.94 / $196.94	Professional		$177.25	$196.94	$196.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.17 / $234.49 / $411.85	Facility		$168.17	$234.49	$411.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.71 / $155.47 / $166.36	Professional		$147.71	$155.47	$166.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $116.10 / $288.47	Professional		$98.08	$116.10	$288.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $196.94 / $196.94 / $361.88	Facility		$196.94	$196.94	$361.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $199.02 / $248.77	Professional		$196.94	$199.02	$248.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $188.81 / $308.97	Professional		$171.65	$188.81	$308.97
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $207.31	Professional		$87.07	$124.39	$207.31