Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.57 / $289.57 / $451.73	Facility		$289.57	$289.57	$451.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $289.57 / $289.57	Professional		$262.14	$289.57	$289.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.26 / $344.79 / $605.57	Facility		$247.26	$344.79	$605.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.18 / $228.61 / $244.61	Professional		$217.18	$228.61	$244.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.52 / $304.81 / $685.82	Professional		$139.52	$304.81	$685.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $286.77 / $289.57 / $532.09	Facility		$286.77	$289.57	$532.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $286.77 / $289.57 / $365.77	Professional		$286.77	$289.57	$365.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.38 / $277.61 / $340.71	Professional		$252.38	$277.61	$340.71
United Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $182.89 / $304.81	Professional		$128.02	$182.89	$304.81