Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.98 / $576.34 / $593.19	Facility		$284.98	$576.34	$593.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $150.00 / $165.00	Professional		$112.72	$150.00	$165.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.28 / $173.02 / $174.23	Facility		$51.28	$173.02	$174.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $126.61 / $233.58	Professional		$51.28	$126.61	$233.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $314.33	Professional		$88.53	$88.53	$314.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $284.98 / $576.34 / $593.19	Facility		$284.98	$576.34	$593.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $150.84 / $305.00	Professional		$95.26	$150.84	$305.00
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 Professional Modifier Low / Median / High Price $133.18 / $192.37 / $306.88	Professional		$133.18	$192.37	$306.88