Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.40 / $182.40 / $284.54	Facility		$182.40	$182.40	$284.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.12 / $182.40 / $182.40	Professional		$165.12	$182.40	$182.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.63 / $134.63 / $134.63	Facility		$134.63	$134.63	$134.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $134.63 / $149.76	Professional		$127.91	$134.63	$149.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $72.09 / $292.70	Professional		$38.47	$72.09	$292.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $78.72 / $182.40 / $335.16	Facility		$78.72	$182.40	$335.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $103.22 / $230.40	Professional		$78.72	$103.22	$230.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $174.87 / $286.16	Professional		$158.97	$174.87	$286.16
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $54.13 / $115.20	Professional		$35.14	$54.13	$115.20