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 $178.29 / $196.94 / $196.94	Professional		$178.29	$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 $105.04 / $243.13 / $315.95	Professional		$105.04	$243.13	$315.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $196.94 / $196.94 / $405.51	Facility		$196.94	$196.94	$405.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $352.42 / $405.51	Professional		$196.94	$352.42	$405.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $188.81 / $231.72	Professional		$171.65	$188.81	$231.72
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $258.83 / $366.68	Professional		$87.07	$258.83	$366.68