Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $233.06 / $288.77	Professional		$120.70	$233.06	$288.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $356.93 / $356.93	Facility		$356.93	$356.93	$356.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.08 / $374.78 / $481.86	Professional		$339.08	$374.78	$481.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $517.03	Professional		$128.49	$128.49	$517.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $253.21 / $303.31	Professional		$198.74	$253.21	$303.31
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 $104.57 / $164.63 / $222.58	Professional		$104.57	$164.63	$222.58