Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.64 / $202.64 / $316.12	Facility		$202.64	$202.64	$316.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.44 / $202.64 / $202.64	Professional		$183.44	$202.64	$202.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $241.28 / $423.77	Facility		$173.03	$241.28	$423.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $159.97 / $171.18	Professional		$151.97	$159.97	$171.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $108.03 / $324.73	Professional		$70.02	$108.03	$324.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $202.64 / $202.64 / $372.35	Facility		$202.64	$202.64	$372.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $202.64 / $270.00 / $290.08	Professional		$202.64	$270.00	$290.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.61 / $194.27 / $238.42	Professional		$176.61	$194.27	$238.42
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $91.03 / $151.71	Professional		$63.72	$91.03	$151.71