Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.94 / $175.94 / $307.89	Facility		$175.94	$175.94	$307.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.27 / $175.94 / $175.94	Professional		$159.27	$175.94	$175.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.12 / $211.32 / $367.93	Facility		$151.12	$211.32	$367.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $110.66 / $282.39	Professional		$84.70	$110.66	$282.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $175.94 / $175.94 / $323.29	Facility		$175.94	$175.94	$323.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $177.79 / $222.24	Professional		$175.94	$177.79	$222.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.35 / $168.68 / $276.02	Professional		$153.35	$168.68	$276.02
United Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $222.24	Facility		$185.20	$185.20	$222.24
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $185.20	Professional		$77.78	$111.12	$185.20