Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $164.60 / $432.72	Facility		$164.60	$164.60	$432.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $164.60 / $299.41	Professional		$154.01	$164.60	$299.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.03 / $342.32 / $647.58	Facility		$190.03	$342.32	$647.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.79 / $156.62 / $156.62	Professional		$148.79	$156.62	$156.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $166.02 / $168.34 / $276.97	Facility		$166.02	$168.34	$276.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $166.02 / $250.00	Professional		$158.51	$166.02	$250.00
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 $156.69 / $187.09 / $193.73	Professional		$156.69	$187.09	$193.73