Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.83 / $320.83 / $500.51	Facility		$320.83	$320.83	$500.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.45 / $320.83 / $320.83	Professional		$290.45	$320.83	$320.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.97 / $382.03 / $670.97	Facility		$273.97	$382.03	$670.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.64 / $253.30 / $271.02	Professional		$240.64	$253.30	$271.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $113.41 / $469.83	Professional		$59.78	$113.41	$469.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $320.83 / $320.83 / $589.54	Facility		$320.83	$320.83	$589.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $320.83 / $459.31 / $475.00	Professional		$320.83	$459.31	$475.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.64 / $307.60 / $377.51	Professional		$279.64	$307.60	$377.51
United Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $83.79 / $202.64	Professional		$54.40	$83.79	$202.64