Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.47 / $223.28 / $223.28	Facility		$219.47	$223.28	$223.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $187.88 / $229.31	Professional		$164.06	$187.88	$229.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.61 / $193.72 / $193.72	Facility		$192.61	$193.72	$193.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.98 / $203.41 / $250.39	Professional		$182.98	$203.41	$250.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $258.38 / $360.51	Professional		$45.05	$258.38	$360.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $158.66 / $158.66 / $223.28	Facility		$158.66	$158.66	$223.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $182.45 / $229.31	Professional		$158.66	$182.45	$229.31
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 $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71