Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.77 / $295.55 / $369.44	Facility		$280.77	$295.55	$369.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.43 / $369.44 / $369.44	Professional		$336.43	$369.44	$369.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.01 / $140.49 / $249.00	Facility		$94.01	$140.49	$249.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $94.00 / $126.90	Professional		$89.30	$94.00	$126.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $168.50 / $210.63	Professional		$168.50	$168.50	$210.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.83 / $295.55 / $369.44	Facility		$83.83	$295.55	$369.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.83 / $89.81 / $369.44	Professional		$83.83	$89.81	$369.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00