Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $1,273.58 / $1,798.85	Facility		$155.69	$1,273.58	$1,798.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $155.69 / $207.60	Professional		$151.16	$155.69	$207.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.54 / $793.24 / $1,581.12	Facility		$513.54	$793.24	$1,581.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $74.83 / $93.54	Professional		$68.34	$74.83	$93.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $192.52	Professional		$151.16	$151.16	$192.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $158.50 / $1,798.85	Facility		$151.16	$158.50	$1,798.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $211.62	Professional		$151.16	$151.16	$211.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $173.84 / $270.59	Professional		$150.33	$173.84	$270.59
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $162.93	Professional		$151.16	$151.16	$162.93