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 / $625.16	Professional		$416.78	$416.78	$625.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.27 / $292.27 / $292.27	Facility		$292.27	$292.27	$292.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.66 / $292.27 / $325.08	Professional		$277.66	$292.27	$325.08
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 / $539.22	Professional		$400.11	$416.78	$539.22
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 $175.07 / $228.84 / $417.48	Professional		$175.07	$228.84	$417.48