Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.07 / $157.07 / $157.07	Facility		$157.07	$157.07	$157.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $157.07 / $575.67	Professional		$115.78	$157.07	$575.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.47 / $310.70 / $552.51	Facility		$218.47	$310.70	$552.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $216.92 / $260.73	Professional		$198.15	$216.92	$260.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $27.01 / $157.07	Facility		$27.01	$27.01	$157.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $28.93 / $157.07	Professional		$27.01	$28.93	$157.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $228.17	Professional		$215.05	$215.05	$228.17