Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.36 / $500.50 / $500.50	Facility		$162.36	$500.50	$500.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $143.10 / $162.36	Professional		$124.99	$143.10	$162.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $165.44 / $297.94	Facility		$83.67	$165.44	$297.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.02 / $213.34 / $253.98	Professional		$193.02	$213.34	$253.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.46 / $191.30 / $474.39	Professional		$136.46	$191.30	$474.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $158.58 / $158.58 / $500.50	Facility		$158.58	$158.58	$500.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $158.58 / $205.11	Professional		$130.38	$158.58	$205.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $134.92 / $193.66	Professional		$109.70	$134.92	$193.66
United Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $168.70 / $242.98	Professional		$137.47	$168.70	$242.98