Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $320.39 / $320.39	Facility		$320.39	$320.39	$320.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.52 / $320.39 / $320.39	Professional		$298.52	$320.39	$320.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.01 / $161.01 / $161.01	Facility		$161.01	$161.01	$161.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.96 / $169.06 / $201.26	Professional		$152.96	$169.06	$201.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.00 / $858.00 / $858.00	Professional		$858.00	$858.00	$858.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $163.99 / $163.99 / $320.39	Facility		$163.99	$163.99	$320.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $183.66 / $320.39	Professional		$163.99	$183.66	$320.39
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 $222.20 / $222.20 / $222.20	Professional		$222.20	$222.20	$222.20