Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.14 / $244.90 / $453.07	Facility		$124.14	$244.90	$453.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $244.90 / $260.20	Professional		$244.90	$244.90	$260.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $58.03 / $103.20	Facility		$42.14	$58.03	$103.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $38.96 / $46.75	Professional		$37.01	$38.96	$46.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.90 / $260.20 / $260.20	Professional		$213.90	$260.20	$260.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $242.21 / $270.41 / $453.07	Facility		$242.21	$270.41	$453.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $270.41 / $324.49	Professional		$244.90	$270.41	$324.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $278.82	Professional		$255.10	$255.10	$278.82