Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.07 / $175.59 / $536.86	Facility		$172.07	$175.59	$536.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $175.59 / $202.14	Professional		$170.48	$175.59	$202.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $379.63 / $718.16	Facility		$210.74	$379.63	$718.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.58 / $165.87 / $165.87	Professional		$157.58	$165.87	$165.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $414.15	Professional		$170.48	$170.48	$414.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $301.12 / $570.47	Facility		$170.48	$301.12	$570.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $172.07 / $204.57	Professional		$170.48	$172.07	$204.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $196.05 / $562.17	Professional		$192.11	$196.05	$562.17
United Facility/Professional Facility Modifier Low / Median / High Price $518.17 / $518.17 / $518.17	Facility		$518.17	$518.17	$518.17
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $180.86	Professional		$170.48	$170.48	$180.86