Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.83 / $211.40 / $211.40	Facility		$178.83	$211.40	$211.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.54 / $211.40 / $211.40	Professional		$169.54	$211.40	$211.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.25 / $367.32 / $653.19	Facility		$265.25	$367.32	$653.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $256.45 / $311.26	Professional		$38.32	$256.45	$311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.27 / $343.01 / $551.53	Professional		$166.27	$343.01	$551.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $178.83 / $201.22 / $211.40	Facility		$178.83	$201.22	$211.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $194.59 / $201.22 / $325.73	Professional		$194.59	$201.22	$325.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $169.62 / $227.84	Professional		$33.83	$169.62	$227.84
United Facility/Professional Professional Modifier Low / Median / High Price $194.50 / $227.89 / $297.08	Professional		$194.50	$227.89	$297.08