Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.42 / $283.20 / $691.93	Facility		$124.42	$283.20	$691.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $323.88 / $504.57	Professional		$194.75	$323.88	$504.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.85 / $632.04 / $1,195.63	Facility		$350.85	$632.04	$1,195.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.70 / $274.70 / $289.17	Professional		$274.70	$274.70	$289.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $323.87 / $323.87	Professional		$107.21	$323.87	$323.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.74 / $306.52 / $346.40	Facility		$177.74	$306.52	$346.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $251.51 / $306.52 / $460.75	Professional		$251.51	$306.52	$460.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $346.40 / $415.68	Professional		$289.17	$346.40	$415.68