Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.28 / $164.51 / $256.64	Facility		$156.28	$164.51	$256.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.93 / $164.51 / $164.51	Professional		$148.93	$164.51	$164.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.47 / $195.89 / $344.04	Facility		$140.47	$195.89	$344.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $129.88 / $138.97	Professional		$123.39	$129.88	$138.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $191.52 / $389.63	Professional		$88.00	$191.52	$389.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $105.83 / $164.51 / $302.29	Facility		$105.83	$164.51	$302.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $142.87 / $210.62	Professional		$105.83	$142.87	$210.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $157.71 / $193.56	Professional		$143.38	$157.71	$193.56
United Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $111.06 / $225.12	Professional		$69.64	$111.06	$225.12