Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.33 / $193.33 / $301.60	Facility		$193.33	$193.33	$301.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.01 / $193.33 / $193.33	Professional		$175.01	$193.33	$193.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.08 / $230.20 / $404.30	Facility		$165.08	$230.20	$404.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $152.63 / $163.31	Professional		$145.00	$152.63	$163.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $103.05 / $283.07	Professional		$81.40	$103.05	$283.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $193.33 / $193.33 / $355.24	Facility		$193.33	$193.33	$355.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $270.00 / $289.39	Professional		$193.33	$270.00	$289.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $185.35 / $227.47	Professional		$168.50	$185.35	$227.47
United Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $203.50	Facility		$203.50	$203.50	$203.50
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $122.10 / $221.66	Professional		$85.47	$122.10	$221.66