Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.33 / $156.13 / $195.18	Facility		$148.33	$156.13	$195.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $195.18 / $204.93	Professional		$110.00	$195.18	$204.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.02 / $358.70 / $635.74	Facility		$240.02	$358.70	$635.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $240.00 / $324.00	Professional		$228.00	$240.00	$324.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $118.94 / $148.68	Professional		$118.94	$118.94	$148.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $156.13 / $156.13 / $214.03	Facility		$156.13	$156.13	$214.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $195.18 / $214.03 / $262.08	Professional		$195.18	$214.03	$262.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00