Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $66.06 / $92.49	Facility		$50.88	$66.06	$92.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $52.85 / $229.08	Professional		$49.34	$52.85	$229.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.08 / $434.56 / $822.06	Facility		$235.08	$434.56	$822.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $80.72 / $80.72	Professional		$80.72	$80.72	$80.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $76.20	Professional		$57.66	$57.66	$76.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.06 / $141.57 / $276.00	Facility		$66.06	$141.57	$276.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $276.00 / $331.20	Professional		$52.18	$276.00	$331.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $307.25 / $342.28	Professional		$276.00	$307.25	$342.28