Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Facility		$297.33	$297.33	$297.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $297.33 / $297.33	Professional		$280.50	$297.33	$297.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.68 / $637.13 / $1,205.27	Facility		$353.68	$637.13	$1,205.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.93 / $276.93 / $291.50	Professional		$276.93	$276.93	$291.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $326.48 / $326.48	Professional		$256.50	$326.48	$326.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $308.99 / $349.80	Facility		$297.33	$308.99	$349.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $285.55 / $308.99 / $370.78	Professional		$285.55	$308.99	$370.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $437.25	Professional		$30.00	$30.00	$437.25
United Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $349.80 / $360.30	Professional		$300.25	$349.80	$360.30