Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $282.89 / $428.26	Facility		$257.99	$282.89	$428.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $270.89 / $364.00	Professional		$240.00	$270.89	$364.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.73 / $494.91 / $936.22	Facility		$274.73	$494.91	$936.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.11 / $215.11 / $226.43	Professional		$215.11	$215.11	$226.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.78 / $253.60 / $253.60	Professional		$205.78	$253.60	$253.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $223.83 / $271.57 / $368.63	Facility		$223.83	$271.57	$368.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $257.99 / $334.00	Professional		$240.00	$257.99	$334.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $296.68 / $296.68 / $296.68	Professional		$296.68	$296.68	$296.68
United Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $291.52 / $319.91	Professional		$257.99	$291.52	$319.91