Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $276.79 / $431.79	Facility		$276.79	$276.79	$431.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.46 / $276.79 / $282.62	Professional		$239.46	$276.79	$282.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.35 / $329.57 / $578.84	Facility		$236.35	$329.57	$578.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.59 / $218.52 / $233.82	Professional		$207.59	$218.52	$233.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $173.96 / $443.98	Professional		$133.24	$173.96	$443.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $276.79 / $508.60	Facility		$276.79	$276.79	$508.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $276.79 / $279.70 / $366.78	Professional		$276.79	$279.70	$366.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.24 / $265.36 / $434.23	Professional		$241.24	$265.36	$434.23
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $174.82 / $291.36	Professional		$122.37	$174.82	$291.36