Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.79 / $212.81 / $663.97	Facility		$212.79	$212.81	$663.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $212.79 / $250.01	Professional		$206.59	$212.79	$250.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.99 / $450.57 / $858.55	Facility		$239.99	$450.57	$858.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $210.48 / $210.48	Professional		$199.96	$210.48	$210.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.50 / $206.59 / $206.59	Professional		$177.50	$206.59	$206.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $255.37 / $592.14	Facility		$206.59	$255.37	$592.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $212.79 / $247.90	Professional		$206.59	$212.79	$247.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.80 / $237.57 / $237.61	Professional		$231.80	$237.57	$237.61
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $219.17	Professional		$206.59	$206.59	$219.17