Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $134.19 / $140.88	Facility		$130.66	$134.19	$140.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $134.19 / $158.10	Professional		$130.66	$134.19	$158.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.79 / $345.49 / $653.57	Facility		$191.79	$345.49	$653.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $150.16 / $158.07	Professional		$150.16	$150.16	$158.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.84 / $177.04 / $184.18	Professional		$114.84	$177.04	$184.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $134.19 / $201.29	Facility		$130.66	$134.19	$201.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $134.19 / $161.02	Professional		$130.66	$134.19	$161.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.25 / $154.31 / $164.70	Professional		$150.25	$154.31	$164.70
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $161.03 / $195.02	Professional		$134.19	$161.03	$195.02