Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.10 / $226.10 / $352.72	Facility		$226.10	$226.10	$352.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.68 / $226.10 / $226.10	Professional		$204.68	$226.10	$226.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.07 / $269.20 / $472.83	Facility		$193.07	$269.20	$472.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $178.50 / $191.00	Professional		$169.58	$178.50	$191.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $108.81 / $331.22	Professional		$74.48	$108.81	$331.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $226.10 / $226.10 / $415.46	Facility		$226.10	$226.10	$415.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $226.10 / $270.00 / $313.20	Professional		$226.10	$270.00	$313.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.06 / $216.76 / $266.03	Professional		$197.06	$216.76	$266.03
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $99.96 / $161.68	Professional		$67.91	$99.96	$161.68