Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.61 / $318.61 / $1,646.89	Facility		$318.61	$318.61	$1,646.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.43 / $318.61 / $318.61	Professional		$288.43	$318.61	$318.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.07 / $379.37 / $666.30	Facility		$272.07	$379.37	$666.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.96 / $251.54 / $269.14	Professional		$238.96	$251.54	$269.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.92 / $274.93 / $511.09	Professional		$169.92	$274.93	$511.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $318.61 / $430.09 / $1,712.18	Facility		$318.61	$430.09	$1,712.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $318.61 / $430.09 / $553.20	Professional		$318.61	$430.09	$553.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.69 / $305.45 / $374.88	Professional		$277.69	$305.45	$374.88
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $201.23 / $457.54	Professional		$140.86	$201.23	$457.54