Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $153.60 / $479.23	Facility		$153.60	$153.60	$479.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $153.60	Professional		$153.60	$153.60	$153.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $163.19 / $163.19	Professional		$155.04	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $192.00 / $427.39	Facility		$153.60	$192.00	$427.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $169.60 / $203.52	Professional		$153.60	$169.60	$203.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $169.76	Professional		$160.00	$160.00	$169.76