Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.10 / $177.63 / $326.42	Facility		$168.10	$177.63	$326.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $165.90 / $180.68	Professional		$164.25	$165.90	$180.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.81 / $358.25 / $682.62	Facility		$190.81	$358.25	$682.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $174.04 / $225.92	Professional		$158.97	$174.04	$225.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $193.69	Professional		$164.25	$164.25	$193.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $246.38 / $467.74	Facility		$164.25	$246.38	$467.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $168.10 / $205.31	Professional		$164.25	$168.10	$205.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $187.69 / $246.37	Professional		$152.28	$187.69	$246.37
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $182.84 / $198.74	Professional		$164.25	$182.84	$198.74