Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.35 / $308.35 / $481.03	Facility		$308.35	$308.35	$481.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $279.14 / $308.35	Professional		$194.75	$279.14	$308.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.24 / $216.24 / $227.62	Facility		$216.24	$216.24	$227.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.24 / $227.62 / $253.18	Professional		$216.24	$227.62	$253.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $194.20 / $451.38	Professional		$148.43	$194.20	$451.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $305.36 / $308.35 / $566.59	Facility		$305.36	$308.35	$566.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $305.36 / $308.35 / $389.50	Professional		$305.36	$308.35	$389.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.75 / $295.62 / $483.75	Professional		$268.75	$295.62	$483.75
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $194.75 / $324.58	Professional		$136.32	$194.75	$324.58