Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $146.74	Facility		$146.74	$146.74	$146.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $146.74 / $192.67	Professional		$146.74	$146.74	$192.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.13 / $236.59 / $457.12	Facility		$122.13	$236.59	$457.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $82.64 / $98.38	Professional		$74.77	$82.64	$98.38
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 $134.53 / $134.53 / $146.74	Facility		$134.53	$134.53	$146.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $134.53 / $146.74 / $188.70	Professional		$134.53	$146.74	$188.70
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 $249.47 / $249.47 / $249.47	Professional		$249.47	$249.47	$249.47