Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.68 / $339.68 / $529.90	Facility		$339.68	$339.68	$529.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.20 / $339.68 / $339.68	Professional		$293.20	$339.68	$339.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.54 / $400.81 / $710.36	Facility		$279.54	$400.81	$710.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.36 / $268.17 / $362.03	Professional		$182.36	$268.17	$362.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.92 / $410.94 / $544.65	Professional		$274.92	$410.94	$544.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $322.70 / $339.68 / $624.16	Facility		$322.70	$339.68	$624.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $322.70 / $429.07 / $462.00	Professional		$322.70	$429.07	$462.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.45 / $296.06 / $399.68	Professional		$266.45	$296.06	$399.68
United Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $214.54 / $395.10	Professional		$150.18	$214.54	$395.10