Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.37 / $175.55 / $195.83	Facility		$159.37	$175.55	$195.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $200.00 / $317.66	Professional		$163.06	$200.00	$317.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.10 / $419.92 / $794.36	Facility		$233.10	$419.92	$794.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.51 / $182.51 / $192.12	Professional		$182.51	$182.51	$192.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $215.17 / $215.17	Professional		$58.91	$215.17	$215.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $159.37 / $203.65 / $230.39	Facility		$159.37	$203.65	$230.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $200.00 / $296.58	Professional		$163.06	$200.00	$296.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.16 / $289.78 / $289.78	Professional		$222.16	$289.78	$289.78
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $230.39 / $237.52	Professional		$192.12	$230.39	$237.52