Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.59 / $183.59 / $286.39	Facility		$183.59	$183.59	$286.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.23 / $183.59 / $183.59	Professional		$165.23	$183.59	$183.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.52 / $135.52 / $135.52	Facility		$135.52	$135.52	$135.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $135.52 / $150.74	Professional		$128.74	$135.52	$150.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $108.29 / $268.67	Professional		$91.47	$108.29	$268.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $183.59 / $183.59 / $337.35	Facility		$183.59	$183.59	$337.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $185.52 / $231.90	Professional		$183.59	$185.52	$231.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.02 / $176.02 / $288.03	Professional		$160.02	$176.02	$288.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $193.25	Professional		$81.17	$115.95	$193.25