Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $193.73 / $250.17	Professional		$109.19	$193.73	$250.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.46 / $239.46 / $239.46	Facility		$239.46	$239.46	$239.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.49 / $251.43 / $323.27	Professional		$227.49	$251.43	$323.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $414.00	Professional		$114.94	$114.94	$414.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $193.73 / $249.78	Professional		$143.82	$193.73	$249.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $414.00 / $476.10 / $745.20	Professional		$414.00	$476.10	$745.20
United Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $112.45 / $154.32	Professional		$93.54	$112.45	$154.32