Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.17 / $440.57 / $687.29	Facility		$413.17	$440.57	$687.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.51 / $550.71 / $725.00	Professional		$396.51	$550.71	$725.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $308.95 / $325.20	Facility		$308.95	$308.95	$325.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.95 / $325.20 / $439.03	Professional		$308.95	$325.20	$439.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $565.40 / $706.75	Professional		$533.17	$565.40	$706.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $440.57 / $440.57 / $809.55	Facility		$440.57	$440.57	$809.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $445.21 / $445.21 / $556.51	Professional		$445.21	$445.21	$556.51
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 $194.78 / $278.26 / $294.95	Professional		$194.78	$278.26	$294.95