Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.29 / $328.29 / $574.51	Facility		$328.29	$328.29	$574.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $328.29 / $328.29	Professional		$276.45	$328.29	$328.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.33 / $390.90 / $686.54	Facility		$280.33	$390.90	$686.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.22 / $259.18 / $277.32	Professional		$246.22	$259.18	$277.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $283.33 / $480.63	Professional		$175.06	$283.33	$480.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $328.29 / $328.29 / $603.23	Facility		$328.29	$328.29	$603.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $328.29 / $443.15 / $570.00	Professional		$328.29	$443.15	$570.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $286.13 / $314.74 / $386.27	Professional		$286.13	$314.74	$386.27
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $282.86 / $471.44	Professional		$145.13	$282.86	$471.44