Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.93 / $395.94 / $635.04	Facility		$395.93	$395.94	$635.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.43 / $395.94 / $469.90	Professional		$358.43	$395.94	$469.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.10 / $471.45 / $828.02	Facility		$338.10	$471.45	$828.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.95 / $312.58 / $334.47	Professional		$296.95	$312.58	$334.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $370.85 / $634.99	Professional		$211.84	$370.85	$634.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $376.14 / $395.94 / $727.54	Facility		$376.14	$395.94	$727.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $395.94 / $537.88 / $572.36	Professional		$395.94	$537.88	$572.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $345.09 / $379.59 / $621.16	Professional		$345.09	$379.59	$621.16
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $571.72	Professional		$175.05	$250.07	$571.72