Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.31 / $161.31 / $457.00	Facility		$161.31	$161.31	$457.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $161.31 / $186.76	Professional		$127.23	$161.31	$186.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.04 / $236.04 / $236.04	Facility		$236.04	$236.04	$236.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.44 / $236.04 / $295.05	Professional		$212.44	$236.04	$295.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $174.75 / $410.65	Professional		$141.06	$174.75	$410.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $161.31 / $180.99 / $180.99	Facility		$161.31	$180.99	$180.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $177.65 / $217.79	Professional		$154.47	$177.65	$217.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $135.41 / $193.55	Professional		$109.70	$135.41	$193.55
United Facility/Professional Professional Modifier Low / Median / High Price $172.32 / $205.58 / $251.76	Professional		$172.32	$205.58	$251.76