Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.30 / $242.30 / $377.99	Facility		$242.30	$242.30	$377.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.34 / $242.30 / $242.30	Professional		$219.34	$242.30	$242.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.90 / $288.50 / $506.71	Facility		$206.90	$288.50	$506.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.73 / $191.29 / $204.68	Professional		$181.73	$191.29	$204.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $255.05 / $573.86	Professional		$116.73	$255.05	$573.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $242.30 / $445.23	Facility		$19.45	$242.30	$445.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $229.55 / $306.06	Professional		$19.45	$229.55	$306.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $117.36 / $212.14	Professional		$87.75	$117.36	$212.14