Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.00 / $266.00 / $414.96	Facility		$266.00	$266.00	$414.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $266.00 / $266.00	Professional		$240.80	$266.00	$266.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.14 / $316.72 / $556.27	Facility		$227.14	$316.72	$556.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $210.00 / $224.70	Professional		$199.50	$210.00	$224.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $341.14 / $630.00	Professional		$128.13	$341.14	$630.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $266.00 / $488.78	Facility		$245.00	$266.00	$488.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $250.00 / $336.00	Professional		$245.00	$250.00	$336.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.84 / $255.02 / $312.98	Professional		$231.84	$255.02	$312.98
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $168.00 / $280.00	Professional		$117.60	$168.00	$280.00