Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.09 / $136.00 / $424.32	Facility		$135.09	$136.00	$424.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $135.09 / $159.77	Professional		$131.15	$135.09	$159.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $292.08 / $552.52	Facility		$162.13	$292.08	$552.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.95 / $133.63 / $133.63	Professional		$126.95	$133.63	$133.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $238.00 / $424.32	Facility		$131.16	$238.00	$424.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $135.09 / $157.38	Professional		$131.16	$135.09	$157.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.83 / $151.84 / $154.38	Professional		$150.83	$151.84	$154.38
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $146.01 / $167.91	Professional		$131.16	$146.01	$167.91