Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.33 / $267.33 / $267.33	Facility		$267.33	$267.33	$267.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $234.97 / $267.33	Professional		$202.75	$234.97	$267.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.19 / $439.79 / $849.72	Facility		$221.19	$439.79	$849.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $155.07 / $182.86	Professional		$138.97	$155.07	$182.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.44 / $285.66 / $525.27	Professional		$191.44	$285.66	$525.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $59.46 / $59.46 / $267.33	Facility		$59.46	$59.46	$267.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $72.80 / $267.33	Professional		$59.46	$72.80	$267.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $130.99 / $130.99	Professional		$87.33	$130.99	$130.99
United Facility/Professional Professional Modifier Low / Median / High Price $212.54 / $270.39 / $393.80	Professional		$212.54	$270.39	$393.80