Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.91 / $175.91 / $175.91	Facility		$175.91	$175.91	$175.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $175.91 / $198.33	Professional		$107.75	$175.91	$198.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.21 / $696.66 / $1,324.14	Facility		$335.21	$696.66	$1,324.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.47 / $240.26 / $311.88	Professional		$219.47	$240.26	$311.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $340.04	Professional		$94.26	$94.26	$340.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $157.41 / $157.41 / $175.91	Facility		$157.41	$157.41	$175.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $157.41 / $277.22	Professional		$157.41	$157.41	$277.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.65 / $149.21 / $244.17	Professional		$135.65	$149.21	$244.17
United Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $110.45 / $166.79	Professional		$81.64	$110.45	$166.79