Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.22 / $145.85 / $453.12	Facility		$145.22	$145.85	$453.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $145.85 / $170.61	Professional		$141.60	$145.85	$170.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.50 / $308.83 / $588.48	Facility		$164.50	$308.83	$588.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $144.27 / $144.27	Professional		$137.06	$144.27	$144.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.24 / $141.60 / $141.60	Professional		$110.24	$141.60	$141.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $181.54 / $404.10	Facility		$141.60	$181.54	$404.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $145.22 / $169.92	Professional		$141.60	$145.22	$169.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.04 / $162.15 / $162.84	Professional		$157.04	$162.15	$162.84
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $150.22	Professional		$141.60	$141.60	$150.22