Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.60 / $290.68 / $434.18	Facility		$223.60	$290.68	$434.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $219.26 / $238.80	Professional		$217.09	$219.26	$238.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.19 / $473.48 / $902.19	Facility		$252.19	$473.48	$902.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.06 / $230.03 / $276.48	Professional		$199.06	$230.03	$276.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $276.48	Professional		$217.09	$217.09	$276.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $434.18 / $622.16	Facility		$217.09	$434.18	$622.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $221.43 / $263.11	Professional		$217.09	$221.43	$263.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $238.79 / $325.63	Professional		$214.76	$238.79	$325.63
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $241.67 / $269.22	Professional		$217.09	$241.67	$269.22