Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $182.42 / $272.45	Facility		$140.32	$182.42	$272.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $140.32 / $164.84	Professional		$136.66	$140.32	$164.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.76 / $298.07 / $567.96	Facility		$158.76	$298.07	$567.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $144.81 / $187.97	Professional		$132.28	$144.81	$187.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $161.16	Professional		$136.66	$136.66	$161.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $272.45 / $390.44	Facility		$136.66	$272.45	$390.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $140.32 / $177.67	Professional		$136.66	$140.32	$177.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $146.00 / $199.09	Professional		$132.72	$146.00	$199.09
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $152.13 / $169.48	Professional		$136.66	$152.13	$169.48