Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.06 / $237.17 / $739.97	Facility		$237.06	$237.17	$739.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.26 / $237.06 / $278.62	Professional		$230.26	$237.06	$278.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.37 / $501.97 / $956.48	Facility		$267.37	$501.97	$956.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.75 / $234.47 / $234.47	Professional		$222.75	$234.47	$234.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $230.15 / $230.15	Professional		$168.73	$230.15	$230.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $284.60 / $659.93	Facility		$230.15	$284.60	$659.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $232.56 / $276.18	Professional		$230.15	$232.56	$276.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $256.26 / $264.67 / $264.79	Professional		$256.26	$264.67	$264.79
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $244.17	Professional		$230.15	$230.15	$244.17