Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $140.75 / $140.75	Facility		$140.75	$140.75	$140.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $170.31	Professional		$140.75	$140.75	$170.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $315.79 / $597.38	Facility		$170.83	$315.79	$597.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $137.26 / $144.47	Professional		$137.26	$137.26	$144.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $161.82 / $190.07	Professional		$134.12	$161.82	$190.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $140.75 / $211.13	Facility		$140.75	$140.75	$211.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $168.90	Professional		$140.75	$140.75	$168.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.86 / $161.86 / $161.86	Professional		$161.86	$161.86	$161.86
United Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $173.08 / $179.16	Professional		$144.47	$173.08	$179.16