Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.00 / $281.00 / $491.75	Facility		$281.00	$281.00	$491.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.42 / $281.00 / $281.00	Professional		$251.42	$281.00	$281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.94 / $334.58 / $587.63	Facility		$239.94	$334.58	$587.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $221.84 / $237.37	Professional		$210.75	$221.84	$237.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $176.97 / $450.69	Professional		$135.38	$176.97	$450.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $278.27 / $281.00 / $516.34	Facility		$278.27	$281.00	$516.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $281.00 / $354.95	Professional		$278.27	$281.00	$354.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.91 / $269.40 / $440.83	Professional		$244.91	$269.40	$440.83
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $177.47 / $295.79	Professional		$124.23	$177.47	$295.79