Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.81 / $241.74 / $241.74	Facility		$115.81	$241.74	$241.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $242.12 / $418.18	Professional		$207.49	$242.12	$418.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.70 / $518.29 / $980.46	Facility		$287.70	$518.29	$980.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.27 / $225.27 / $237.13	Professional		$225.27	$225.27	$237.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $265.58 / $265.58	Professional		$194.51	$265.58	$265.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $135.11 / $241.74 / $284.39	Facility		$135.11	$241.74	$284.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $205.19 / $241.74 / $375.64	Professional		$205.19	$241.74	$375.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.57 / $354.57 / $354.57	Professional		$354.57	$354.57	$354.57
United Facility/Professional Professional Modifier Low / Median / High Price $237.13 / $284.39 / $293.16	Professional		$237.13	$284.39	$293.16