Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.01 / $202.01 / $202.01	Facility		$202.01	$202.01	$202.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.37 / $221.78 / $249.69	Professional		$190.37	$221.78	$249.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.02 / $419.58 / $859.34	Facility		$173.02	$419.58	$859.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $138.41 / $198.97	Professional		$51.64	$138.41	$198.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $314.33	Professional		$146.27	$146.27	$314.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $202.01 / $305.00 / $305.00	Facility		$202.01	$305.00	$305.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $240.00 / $319.88	Professional		$156.99	$240.00	$319.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $108.53 / $145.99	Facility		$37.46	$108.53	$145.99
United Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $224.51 / $331.94	Professional		$156.19	$224.51	$331.94