Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.39 / $168.39 / $262.69	Facility		$168.39	$168.39	$262.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $168.39 / $177.76	Professional		$152.44	$168.39	$177.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.79 / $200.50 / $352.14	Facility		$143.79	$200.50	$352.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $132.94 / $142.25	Professional		$126.29	$132.94	$142.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $111.47 / $246.62	Professional		$74.40	$111.47	$246.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $168.39 / $168.39 / $309.42	Facility		$168.39	$168.39	$309.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $227.30 / $292.37	Professional		$168.39	$227.30	$292.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $161.44 / $198.13	Professional		$146.77	$161.44	$198.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $145.09 / $241.81	Professional		$74.45	$145.09	$241.81