Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.81 / $306.81 / $478.62	Facility		$306.81	$306.81	$478.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $306.81 / $306.81	Professional		$264.83	$306.81	$306.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.49 / $362.02 / $641.62	Facility		$252.49	$362.02	$641.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.71 / $242.22 / $327.00	Professional		$164.71	$242.22	$327.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.31 / $370.87 / $491.99	Professional		$248.31	$370.87	$491.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $291.47 / $306.81 / $563.76	Facility		$291.47	$306.81	$563.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $291.47 / $387.55 / $417.29	Professional		$291.47	$387.55	$417.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.66 / $267.41 / $361.00	Professional		$240.66	$267.41	$361.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $265.81 / $419.85	Professional		$135.63	$265.81	$419.85