Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.56 / $145.56 / $190.01	Facility		$145.56	$145.56	$190.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $145.56 / $190.01	Professional		$110.56	$145.56	$190.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.27 / $180.27 / $272.91	Facility		$180.27	$180.27	$272.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.27 / $225.34 / $272.91	Professional		$180.27	$225.34	$272.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $237.10 / $481.62	Professional		$146.59	$237.10	$481.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $145.56 / $155.55 / $190.01	Facility		$145.56	$155.55	$190.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $155.55 / $190.22	Professional		$119.32	$155.55	$190.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $168.06 / $241.51	Professional		$136.75	$168.06	$241.51
United Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $184.18 / $258.82	Professional		$150.33	$184.18	$258.82