Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.39 / $270.39 / $270.39	Facility		$270.39	$270.39	$270.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.99 / $228.21 / $270.39	Professional		$148.99	$228.21	$270.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.97 / $360.07 / $640.29	Facility		$251.97	$360.07	$640.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $62.76 / $77.70	Professional		$56.77	$62.76	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.04 / $115.72 / $223.63	Professional		$74.04	$115.72	$223.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.49 / $130.84 / $270.39	Facility		$85.49	$130.84	$270.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $130.84 / $270.39	Professional		$85.49	$130.84	$270.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $37.27 / $66.69	Professional		$31.95	$37.27	$66.69
United Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $230.13 / $230.13	Facility		$230.13	$230.13	$230.13
United Facility/Professional Professional Modifier Low / Median / High Price $99.15 / $275.73 / $332.74	Professional		$99.15	$275.73	$332.74