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 $85.05 / $151.41 / $460.38	Professional		$85.05	$151.41	$460.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $173.53 / $314.45 / $577.79	Facility		$173.53	$314.45	$577.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $173.53 / $297.89 / $397.20	Professional		$173.53	$297.89	$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 Professional Modifier Low / Median / High Price $77.54 / $111.37 / $198.60	Professional		$77.54	$111.37	$198.60