Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.83 / $289.80 / $289.80	Facility		$250.83	$289.80	$289.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.58 / $289.80 / $289.80	Professional		$232.58	$289.80	$289.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.71 / $513.29 / $912.78	Facility		$372.71	$513.29	$912.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.08 / $370.49 / $444.59	Professional		$306.08	$370.49	$444.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.81 / $384.21 / $617.89	Professional		$244.81	$384.21	$617.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $237.00 / $237.00 / $289.80	Facility		$237.00	$237.00	$289.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $265.74 / $372.31	Professional		$237.00	$265.74	$372.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $215.14 / $303.83	Professional		$34.36	$215.14	$303.83
United Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $299.67 / $411.50	Professional		$239.76	$299.67	$411.50