Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $174.10	Facility		$174.10	$174.10	$174.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $174.10 / $253.70	Professional		$174.10	$174.10	$253.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.37 / $626.44 / $1,210.33	Facility		$323.37	$626.44	$1,210.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.95 / $218.79 / $260.45	Professional		$197.95	$218.79	$260.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $274.77 / $274.77	Facility		$174.10	$274.77	$274.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $274.77 / $336.45	Professional		$174.10	$274.77	$336.45
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 $269.67 / $269.67 / $269.67	Professional		$269.67	$269.67	$269.67