Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $171.81 / $214.14	Facility		$160.15	$171.81	$214.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $178.46 / $279.00	Professional		$144.54	$178.46	$279.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.32 / $364.47 / $689.46	Facility		$202.32	$364.47	$689.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $158.41 / $166.75	Professional		$158.41	$158.41	$166.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $186.76 / $186.76	Professional		$76.19	$186.76	$186.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $178.45 / $217.16	Facility		$160.15	$178.45	$217.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $169.96 / $270.24	Professional		$145.00	$169.96	$270.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $249.00 / $249.00	Professional		$249.00	$249.00	$249.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $199.95 / $206.15	Professional		$166.75	$199.95	$206.15