Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.30 / $222.30 / $346.79	Facility		$222.30	$222.30	$346.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.24 / $222.30 / $222.30	Professional		$201.24	$222.30	$222.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.09 / $164.09 / $164.09	Facility		$164.09	$164.09	$164.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $164.09 / $182.52	Professional		$155.88	$164.09	$182.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $106.99 / $526.50	Professional		$28.37	$106.99	$526.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $222.30 / $408.48	Facility		$70.09	$222.30	$408.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $222.30 / $280.80	Professional		$70.09	$222.30	$280.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $140.40 / $234.00	Professional		$98.28	$140.40	$234.00