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 $230.83 / $322.77 / $561.99	Facility		$230.83	$322.77	$561.99
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