Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.27 / $286.27 / $446.60	Facility		$286.27	$286.27	$446.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.16 / $286.27 / $286.27	Professional		$259.16	$286.27	$286.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.45 / $340.87 / $598.67	Facility		$244.45	$340.87	$598.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.71 / $226.01 / $241.83	Professional		$214.71	$226.01	$241.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $367.16 / $678.04	Professional		$152.66	$367.16	$678.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $286.27 / $286.27 / $526.04	Facility		$286.27	$286.27	$526.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $286.27 / $289.30 / $361.62	Professional		$286.27	$289.30	$361.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.52 / $274.47 / $449.13	Professional		$249.52	$274.47	$449.13
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $301.35	Professional		$126.57	$180.81	$301.35