Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $625.16	Facility		$416.78	$416.78	$625.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.24 / $226.23 / $397.34	Facility		$162.24	$226.23	$397.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $150.00 / $160.50	Professional		$142.50	$150.00	$160.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.80 / $521.00	Professional		$416.78	$416.80	$521.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $400.11 / $416.78 / $765.83	Facility		$400.11	$416.78	$765.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $400.11 / $416.78 / $500.14	Professional		$400.11	$416.78	$500.14
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 $175.07 / $228.81 / $417.48	Professional		$175.07	$228.81	$417.48