Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $149.83 / $217.46	Facility		$149.83	$149.83	$217.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.46 / $158.44 / $282.77	Professional		$148.46	$158.44	$282.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.38 / $321.33 / $607.88	Facility		$178.38	$321.33	$607.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $139.66 / $147.02	Professional		$139.66	$139.66	$147.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $164.66 / $164.66	Professional		$60.08	$164.66	$164.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $127.88 / $158.63 / $184.97	Facility		$127.88	$158.63	$184.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $147.06 / $149.83 / $224.81	Professional		$147.06	$149.83	$224.81
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 $147.02 / $176.27 / $187.16	Professional		$147.02	$176.27	$187.16