Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.60 / $292.60 / $456.46	Facility		$292.60	$292.60	$456.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $292.60 / $292.60	Professional		$184.80	$292.60	$292.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.85 / $348.39 / $611.90	Facility		$249.85	$348.39	$611.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.45 / $231.00 / $247.17	Professional		$219.45	$231.00	$247.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.79 / $172.59 / $428.43	Professional		$145.79	$172.59	$428.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $292.60 / $292.60 / $537.65	Facility		$292.60	$292.60	$537.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $295.68 / $369.60	Professional		$292.60	$295.68	$369.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.02 / $280.52 / $459.03	Professional		$255.02	$280.52	$459.03
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $184.80 / $308.00	Professional		$129.36	$184.80	$308.00