Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $133.47 / $416.43	Facility		$133.36	$133.47	$416.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $133.36 / $156.79	Professional		$129.58	$133.36	$156.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.41 / $282.39 / $538.10	Facility		$150.41	$282.39	$538.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.32 / $131.91 / $131.91	Professional		$125.32	$131.91	$131.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $160.16 / $371.38	Facility		$129.47	$160.16	$371.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $133.36 / $155.37	Professional		$129.47	$133.36	$155.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $148.92 / $149.01	Professional		$148.90	$148.92	$149.01
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $132.08	Professional		$129.47	$129.47	$132.08