Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.41 / $383.41 / $598.12	Facility		$383.41	$383.41	$598.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.09 / $383.41 / $383.41	Professional		$347.09	$383.41	$383.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.39 / $456.52 / $801.80	Facility		$327.39	$456.52	$801.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $302.69 / $323.88	Professional		$287.56	$302.69	$323.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $184.59 / $561.64	Professional		$138.88	$184.59	$561.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $283.27 / $383.41 / $704.52	Facility		$283.27	$383.41	$704.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $283.27 / $382.42 / $484.30	Professional		$283.27	$382.42	$484.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $334.17 / $367.58 / $451.12	Professional		$334.17	$367.58	$451.12
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.82 / $301.36	Professional		$126.57	$180.82	$301.36