Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.74 / $268.74 / $419.23	Facility		$268.74	$268.74	$419.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $268.74 / $268.74	Professional		$243.28	$268.74	$268.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.47 / $319.98 / $561.99	Facility		$229.47	$319.98	$561.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.55 / $212.16 / $227.01	Professional		$201.55	$212.16	$227.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $169.01 / $431.08	Professional		$129.44	$169.01	$431.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $268.74 / $268.74 / $493.81	Facility		$268.74	$268.74	$493.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $268.74 / $271.56 / $339.46	Professional		$268.74	$271.56	$339.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.22 / $257.64 / $421.59	Professional		$234.22	$257.64	$421.59
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $282.88	Professional		$118.81	$169.73	$282.88