Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.09 / $356.25 / $555.75	Facility		$334.09	$356.25	$555.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $445.31	Professional		$300.00	$300.00	$445.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.82 / $249.82 / $262.97	Facility		$249.82	$249.82	$262.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.82 / $262.97 / $292.50	Professional		$249.82	$262.97	$292.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $415.13 / $843.75	Professional		$219.38	$415.13	$843.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $356.25 / $356.25 / $654.61	Facility		$356.25	$356.25	$654.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $450.00	Professional		$360.00	$360.00	$450.00
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 $157.50 / $225.00 / $375.00	Professional		$157.50	$225.00	$375.00