Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.98 / $164.98 / $257.37	Facility		$164.98	$164.98	$257.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.35 / $164.98 / $178.00	Professional		$149.35	$164.98	$178.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $196.44 / $345.02	Facility		$140.88	$196.44	$345.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $130.25 / $139.37	Professional		$123.74	$130.25	$139.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $136.28 / $390.74	Professional		$87.95	$136.28	$390.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $156.72 / $164.98 / $303.14	Facility		$156.72	$164.98	$303.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $176.38 / $242.19	Professional		$156.29	$176.38	$242.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.79 / $158.16 / $194.11	Professional		$143.79	$158.16	$194.11
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $181.72 / $243.12	Professional		$104.20	$181.72	$243.12