Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $211.34 / $211.34	Facility		$211.34	$211.34	$211.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $211.34 / $280.87	Professional		$190.00	$211.34	$280.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.54 / $453.14 / $857.21	Facility		$251.54	$453.14	$857.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.95 / $196.95 / $207.32	Professional		$196.95	$196.95	$207.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.05 / $232.20 / $232.20	Professional		$159.05	$232.20	$232.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $219.76 / $248.63	Facility		$211.34	$219.76	$248.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $219.76 / $273.94	Professional		$190.00	$219.76	$273.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.32 / $301.32 / $301.32	Professional		$301.32	$301.32	$301.32
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $248.63 / $256.31	Professional		$207.32	$248.63	$256.31