Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.74 / $268.74 / $419.23	Facility		$268.74	$268.74	$419.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $268.74 / $268.74	Professional		$241.87	$268.74	$268.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.45 / $188.45 / $198.37	Facility		$188.45	$188.45	$198.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.45 / $198.37 / $220.65	Professional		$188.45	$198.37	$220.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.86 / $344.86 / $431.08	Professional		$344.86	$344.86	$431.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $268.74 / $268.74 / $493.81	Facility		$268.74	$268.74	$493.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $268.74 / $271.56 / $339.45	Professional		$268.74	$271.56	$339.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $282.88	Professional		$118.81	$169.73	$282.88