Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $164.42	Facility		$164.42	$164.42	$164.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $164.42 / $198.95	Professional		$164.41	$164.42	$198.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.86 / $428.59 / $810.77	Facility		$231.86	$428.59	$810.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.29 / $186.29 / $196.09	Professional		$186.29	$186.29	$196.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.15 / $219.62 / $219.62	Professional		$189.15	$219.62	$219.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $235.16	Facility		$164.42	$164.42	$235.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $197.30	Professional		$164.42	$164.42	$197.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.08 / $189.08 / $189.08	Professional		$189.08	$189.08	$189.08
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $197.30 / $235.16	Professional		$164.42	$197.30	$235.16