Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.75 / $247.75 / $665.84	Facility		$247.75	$247.75	$665.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.28 / $247.75 / $552.88	Professional		$224.28	$247.75	$552.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.55 / $294.99 / $518.10	Facility		$211.55	$294.99	$518.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.81 / $195.59 / $209.28	Professional		$185.81	$195.59	$209.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.09 / $213.79 / $362.72	Professional		$132.09	$213.79	$362.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $247.75 / $309.69 / $665.84	Facility		$247.75	$309.69	$665.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $232.34 / $334.43 / $374.56	Professional		$232.34	$334.43	$374.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.93 / $237.52 / $291.50	Professional		$215.93	$237.52	$291.50
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $195.32 / $355.78	Professional		$109.53	$195.32	$355.78