Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $175.28 / $184.04	Facility		$175.28	$175.28	$184.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $175.28 / $175.28	Professional		$163.77	$175.28	$175.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.49 / $353.53 / $683.04	Facility		$182.49	$353.53	$683.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $123.47 / $146.99	Professional		$111.71	$123.47	$146.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $148.66 / $178.12	Professional		$39.60	$148.66	$178.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $112.13 / $112.13 / $184.04	Facility		$112.13	$112.13	$184.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.13 / $123.34 / $175.28	Professional		$112.13	$123.34	$175.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $127.26 / $127.26	Professional		$127.26	$127.26	$127.26