Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.63 / $166.63 / $259.94	Facility		$166.63	$166.63	$259.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.84 / $166.63 / $166.63	Professional		$150.84	$166.63	$166.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.13 / $200.14 / $348.46	Facility		$143.13	$200.14	$348.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $104.85 / $250.00	Professional		$80.23	$104.85	$250.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $166.63 / $168.38 / $306.18	Facility		$166.63	$168.38	$306.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $168.38 / $210.48	Professional		$166.63	$168.38	$210.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $159.75 / $261.41	Professional		$145.22	$159.75	$261.41
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $175.40	Professional		$73.67	$105.24	$175.40