Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.14 / $186.43 / $272.45	Facility		$59.14	$186.43	$272.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $177.56 / $243.84	Professional		$144.00	$177.56	$243.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.16 / $340.42 / $643.98	Facility		$184.16	$340.42	$643.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.96 / $147.96 / $155.75	Professional		$147.96	$147.96	$155.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $174.44 / $174.44	Professional		$131.10	$174.44	$174.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $186.90 / $266.06	Facility		$177.56	$186.90	$266.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $177.56 / $223.73	Professional		$159.06	$177.56	$223.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $204.19 / $204.19	Professional		$204.19	$204.19	$204.19
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $186.90 / $192.55	Professional		$155.75	$186.90	$192.55