Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $420.83	Facility		$134.88	$134.88	$420.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.34 / $310.45 / $587.29	Facility		$172.34	$310.45	$587.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $142.04 / $142.04	Professional		$134.94	$142.04	$142.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $168.60 / $375.30	Facility		$134.88	$168.60	$375.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $148.93 / $178.71	Professional		$134.88	$148.93	$178.71
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 $140.50 / $140.50 / $149.07	Professional		$140.50	$140.50	$149.07