Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $155.37	Professional		$141.25	$141.25	$155.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.56 / $291.05 / $550.58	Facility		$161.56	$291.05	$550.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $126.50 / $133.16	Professional		$126.50	$126.50	$133.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $151.01	Professional		$148.50	$148.50	$151.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $158.96 / $158.96	Facility		$141.25	$158.96	$158.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.96 / $190.75	Professional		$141.25	$158.96	$190.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $187.57 / $197.11	Professional		$158.96	$187.57	$197.11