Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.86 / $192.86 / $480.00	Facility		$192.86	$192.86	$480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $192.86 / $192.86	Professional		$131.88	$192.86	$192.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.88 / $275.88 / $275.88	Facility		$275.88	$275.88	$275.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $275.88 / $306.86	Professional		$262.08	$275.88	$306.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $192.86 / $198.04 / $198.04	Facility		$192.86	$198.04	$198.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $182.38 / $198.04 / $222.81	Professional		$182.38	$198.04	$222.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $163.22 / $187.88	Professional		$155.62	$163.22	$187.88
United Facility/Professional Professional Modifier Low / Median / High Price $179.98 / $233.27 / $281.85	Professional		$179.98	$233.27	$281.85