Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.07 / $166.07 / $262.22	Facility		$166.07	$166.07	$262.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $166.07 / $180.52	Professional		$143.66	$166.07	$180.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.81 / $197.74 / $347.30	Facility		$141.81	$197.74	$347.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $131.11 / $140.29	Professional		$124.55	$131.11	$140.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $104.63 / $243.02	Professional		$79.91	$104.63	$243.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.46 / $166.07 / $305.14	Facility		$164.46	$166.07	$305.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.46 / $166.07 / $215.65	Professional		$164.46	$166.07	$215.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $159.21 / $260.53	Professional		$144.74	$159.21	$260.53
United Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $209.77	Facility		$174.81	$174.81	$209.77
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $174.81	Professional		$73.42	$104.89	$174.81