Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.83 / $143.38 / $277.33	Facility		$142.83	$143.38	$277.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $140.60 / $153.13	Professional		$139.21	$140.60	$153.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.71 / $303.62 / $578.52	Facility		$161.71	$303.62	$578.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $147.50 / $191.47	Professional		$134.74	$147.50	$191.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $164.17	Professional		$139.21	$139.21	$164.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $208.82 / $397.42	Facility		$139.21	$208.82	$397.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $142.83 / $168.93	Professional		$139.21	$142.83	$168.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $149.83 / $204.31	Professional		$136.21	$149.83	$204.31
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $154.97 / $172.64	Professional		$139.21	$154.97	$172.64