Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.09 / $186.66 / $565.00	Facility		$181.09	$186.66	$565.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.09 / $186.66 / $262.76	Professional		$181.09	$186.66	$262.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.02 / $403.57 / $763.43	Facility		$224.02	$403.57	$763.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $53.30 / $53.30	Professional		$50.64	$53.30	$53.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.91 / $181.22 / $254.14	Professional		$175.91	$181.22	$254.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $106.20 / $205.98 / $503.88	Facility		$106.20	$205.98	$503.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.09 / $181.22 / $217.46	Professional		$181.09	$181.22	$217.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $201.02 / $202.19 / $208.40	Professional		$201.02	$202.19	$208.40
United Facility/Professional Facility Modifier Low / Median / High Price $149.82 / $149.82 / $149.82	Facility		$149.82	$149.82	$149.82
United Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $181.22 / $192.26	Professional		$174.80	$181.22	$192.26