Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $166.21 / $204.77	Professional		$78.38	$166.21	$204.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.09 / $253.09 / $253.09	Facility		$253.09	$253.09	$253.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.44 / $265.74 / $341.67	Professional		$240.44	$265.74	$341.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $366.56	Professional		$91.11	$91.11	$366.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.31 / $179.56 / $215.08	Professional		$141.31	$179.56	$215.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $116.74 / $168.35	Professional		$74.15	$116.74	$168.35