Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.53 / $173.17 / $6,283.80	Facility		$169.53	$173.17	$6,283.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $169.53 / $203.44	Professional		$164.59	$169.53	$203.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.20 / $358.97 / $684.01	Facility		$191.20	$358.97	$684.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.31 / $167.69 / $167.69	Professional		$159.31	$167.69	$167.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $174.86	Professional		$164.59	$164.59	$174.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $233.88 / $540.29	Facility		$164.59	$233.88	$540.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $169.53 / $197.50	Professional		$164.59	$169.53	$197.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.79 / $189.27 / $193.34	Professional		$187.79	$189.27	$193.34
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $174.61	Professional		$164.59	$164.59	$174.61