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 $241.67 / $419.77 / $793.86	Facility		$241.67	$419.77	$793.86
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 $254.40 / $254.40 / $254.40	Professional		$254.40	$254.40	$254.40
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $169.74	Professional		$160.00	$160.00	$169.74