Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.05 / $166.05 / $528.00	Facility		$166.05	$166.05	$528.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $153.90 / $183.67	Professional		$121.28	$153.90	$183.67
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 / $141.06 / $292.62	Professional		$141.06	$141.06	$292.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $166.05 / $182.75 / $182.75	Facility		$166.05	$182.75	$182.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.52 / $174.59 / $201.32	Professional		$138.52	$174.59	$201.32
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 / $204.45 / $253.25	Professional		$172.32	$204.45	$253.25