Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.25 / $290.23 / $433.48	Facility		$223.25	$290.23	$433.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $219.07 / $238.59	Professional		$216.90	$219.07	$238.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.97 / $473.07 / $901.42	Facility		$251.97	$473.07	$901.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $229.83 / $298.33	Professional		$209.94	$229.83	$298.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $274.32	Professional		$216.90	$216.90	$274.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $433.48 / $621.19	Facility		$216.90	$433.48	$621.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $221.24 / $271.12	Professional		$216.90	$221.24	$271.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $216.90 / $292.59	Professional		$100.00	$216.90	$292.59
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $241.46 / $262.45	Professional		$216.90	$241.46	$262.45