Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.58 / $244.58 / $381.55	Facility		$244.58	$244.58	$381.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.41 / $244.58 / $244.58	Professional		$221.41	$244.58	$244.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.85 / $291.22 / $511.48	Facility		$208.85	$291.22	$511.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.44 / $193.09 / $206.61	Professional		$183.44	$193.09	$206.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $210.99 / $392.35	Professional		$130.93	$210.99	$392.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $232.35 / $244.58 / $449.42	Facility		$232.35	$244.58	$449.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $229.37 / $332.65 / $372.56	Professional		$229.37	$332.65	$372.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.17 / $234.48 / $287.77	Professional		$213.17	$234.48	$287.77
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $194.28 / $351.22	Professional		$108.13	$194.28	$351.22