Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.45 / $314.45 / $490.54	Facility		$314.45	$314.45	$490.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.66 / $314.45 / $314.45	Professional		$284.66	$314.45	$314.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.51 / $374.41 / $657.59	Facility		$268.51	$374.41	$657.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.84 / $248.25 / $265.63	Professional		$235.84	$248.25	$265.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $167.76 / $460.38	Professional		$119.40	$167.76	$460.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $243.52 / $314.45 / $577.79	Facility		$243.52	$314.45	$577.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $314.45 / $397.20	Professional		$243.52	$314.45	$397.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.07 / $301.47 / $369.99	Professional		$274.07	$301.47	$369.99
United Facility/Professional Facility Modifier Low / Median / High Price $139.02 / $297.89 / $397.20	Facility		$139.02	$297.89	$397.20
United Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $155.44 / $259.06	Professional		$108.81	$155.44	$259.06