Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.16 / $207.16 / $323.17	Facility		$207.16	$207.16	$323.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.53 / $241.12 / $327.08	Professional		$187.53	$241.12	$327.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.90 / $246.67 / $433.23	Facility		$176.90	$246.67	$433.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.37 / $163.55 / $175.00	Professional		$155.37	$163.55	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.51 / $175.03 / $331.95	Professional		$110.51	$175.03	$331.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $196.80 / $207.16 / $380.66	Facility		$196.80	$207.16	$380.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $218.06 / $296.56	Professional		$196.25	$218.06	$296.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $198.60 / $243.74	Professional		$180.55	$198.60	$243.74
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $174.71 / $283.48	Professional		$91.59	$174.71	$283.48