Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.41 / $227.41 / $387.34	Facility		$227.41	$227.41	$387.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $307.42 / $307.42	Professional		$203.99	$307.42	$307.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.37 / $190.35 / $337.36	Facility		$127.37	$190.35	$337.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $127.36 / $171.94	Professional		$120.99	$127.36	$171.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $254.00 / $317.50	Professional		$254.00	$254.00	$317.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $227.41 / $227.41 / $307.42	Facility		$227.41	$227.41	$307.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $307.42 / $322.79	Professional		$203.99	$307.42	$322.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00