Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.81 / $229.81 / $358.50	Facility		$229.81	$229.81	$358.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.03 / $229.81 / $251.92	Professional		$208.03	$229.81	$251.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.23 / $273.63 / $480.59	Facility		$196.23	$273.63	$480.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.36 / $181.43 / $194.13	Professional		$172.36	$181.43	$194.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $160.11 / $336.62	Professional		$123.01	$160.11	$336.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.81 / $229.81 / $422.28	Facility		$229.81	$229.81	$422.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $310.00 / $329.51	Professional		$229.81	$310.00	$329.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.29 / $220.31 / $360.52	Professional		$200.29	$220.31	$360.52
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $197.71 / $314.47	Professional		$101.60	$197.71	$314.47