Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.75 / $245.75 / $950.00	Facility		$245.75	$245.75	$950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $245.75 / $245.75	Professional		$171.00	$245.75	$245.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.94 / $338.94 / $338.94	Facility		$338.94	$338.94	$338.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.22 / $355.89 / $457.57	Professional		$317.22	$355.89	$457.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.70 / $223.70 / $223.70	Facility		$223.70	$223.70	$223.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $250.00 / $935.47	Professional		$225.00	$250.00	$935.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $245.75 / $245.75 / $950.00	Facility		$245.75	$245.75	$950.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $195.24 / $245.75 / $368.63	Professional		$195.24	$245.75	$368.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $376.18 / $565.49	Professional		$318.98	$376.18	$565.49