Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $264.64 / $395.30	Facility		$203.58	$264.64	$395.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $199.81 / $217.62	Professional		$197.83	$199.81	$217.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.53 / $405.92 / $822.16	Facility		$210.53	$405.92	$822.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.48 / $209.62 / $272.11	Professional		$191.48	$209.62	$272.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $251.13	Professional		$197.83	$197.83	$251.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $264.64 / $566.46	Facility		$197.83	$264.64	$566.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $199.81 / $247.28	Professional		$197.83	$199.81	$247.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.08 / $217.41 / $296.47	Professional		$194.08	$217.41	$296.47
United Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $194.08 / $205.72	Facility		$194.08	$194.08	$205.72
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $220.23 / $239.37	Professional		$197.83	$220.23	$239.37