Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.14 / $179.14 / $279.45	Facility		$179.14	$179.14	$279.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $179.14 / $282.85	Professional		$169.71	$179.14	$282.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.97 / $213.30 / $374.63	Facility		$152.97	$213.30	$374.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $141.43 / $151.33	Professional		$134.36	$141.43	$151.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $171.78 / $424.28	Professional		$95.58	$171.78	$424.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $170.18 / $179.14 / $329.17	Facility		$170.18	$179.14	$329.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $201.19 / $279.45	Professional		$169.71	$201.19	$279.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $171.74 / $210.77	Professional		$156.13	$171.74	$210.77
United Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $188.57 / $226.28	Facility		$188.57	$188.57	$226.28
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $188.57 / $264.00	Professional		$113.14	$188.57	$264.00