Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.73 / $220.26 / $682.44	Facility		$218.73	$220.26	$682.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.96 / $218.73 / $256.95	Professional		$211.96	$218.73	$256.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $476.20 / $900.83	Facility		$264.33	$476.20	$900.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.98 / $217.87 / $217.87	Professional		$206.98	$217.87	$217.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $273.41 / $608.62	Facility		$213.84	$273.41	$608.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $218.73 / $256.60	Professional		$213.84	$218.73	$256.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.39 / $244.21 / $245.91	Professional		$241.39	$244.21	$245.91
United Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Facility		$213.84	$213.84	$213.84
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $226.86	Professional		$213.84	$213.84	$226.86