Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.49 / $292.33 / $912.10	Facility		$234.49	$292.33	$912.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $292.33 / $292.33	Professional		$292.33	$292.33	$292.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.58 / $354.13 / $669.90	Facility		$196.58	$354.13	$669.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $48.18 / $48.18	Professional		$45.77	$48.18	$48.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.90 / $310.61 / $310.61	Professional		$220.90	$310.61	$310.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $292.33 / $365.43 / $813.44	Facility		$292.33	$365.43	$813.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $316.20 / $379.44	Professional		$292.33	$316.20	$379.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $235.81 / $235.81 / $235.81	Professional		$235.81	$235.81	$235.81
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $316.47	Professional		$298.30	$298.30	$316.47