Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.70 / $209.70 / $327.13	Facility		$209.70	$209.70	$327.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $209.70 / $226.91	Professional		$189.84	$209.70	$226.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.07 / $249.70 / $438.55	Facility		$179.07	$249.70	$438.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.28 / $165.56 / $177.15	Professional		$157.28	$165.56	$177.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.84 / $169.73 / $306.92	Professional		$111.84	$169.73	$306.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $209.70 / $209.70 / $385.32	Facility		$209.70	$209.70	$385.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $283.08 / $364.12	Professional		$209.70	$283.08	$364.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.78 / $201.05 / $246.75	Professional		$182.78	$201.05	$246.75
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $180.69 / $301.14	Professional		$92.71	$180.69	$301.14