Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $141.24 / $440.67	Facility		$141.24	$141.24	$440.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $141.24 / $141.24	Professional		$141.24	$141.24	$141.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.13 / $267.70 / $506.29	Facility		$154.13	$267.70	$506.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $158.19 / $158.19	Professional		$158.19	$158.19	$158.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $247.17 / $440.67	Facility		$141.24	$247.17	$440.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $146.77 / $176.12	Professional		$141.24	$146.77	$176.12
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 $136.80 / $136.80 / $139.55	Professional		$136.80	$136.80	$139.55