Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.63 / $166.63 / $259.94	Facility		$166.63	$166.63	$259.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $166.63 / $166.63	Professional		$149.97	$166.63	$166.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $123.00	Facility		$123.00	$123.00	$123.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.85 / $123.00 / $136.81	Professional		$116.85	$123.00	$136.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.05 / $98.32 / $243.92	Professional		$83.05	$98.32	$243.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $166.63 / $166.63 / $306.18	Facility		$166.63	$166.63	$306.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $168.38 / $210.48	Professional		$166.63	$168.38	$210.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $159.75 / $261.41	Professional		$145.22	$159.75	$261.41
United Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $210.48	Facility		$175.40	$175.40	$210.48
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $175.40	Professional		$73.67	$105.24	$175.40