Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.56 / $405.56 / $405.56	Facility		$405.56	$405.56	$405.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.13 / $342.64 / $432.87	Professional		$293.13	$342.64	$432.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.90 / $518.90 / $518.90	Facility		$518.90	$518.90	$518.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.72 / $550.03 / $648.63	Professional		$471.72	$550.03	$648.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.83 / $389.31 / $885.00	Professional		$302.83	$389.31	$885.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $306.92 / $306.92 / $405.56	Facility		$306.92	$306.92	$405.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $306.92 / $353.83 / $465.64	Professional		$306.92	$353.83	$465.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.40 / $327.28 / $443.75	Professional		$270.40	$327.28	$443.75
United Facility/Professional Facility Modifier Low / Median / High Price $337.29 / $337.29 / $337.29	Facility		$337.29	$337.29	$337.29
United Facility/Professional Professional Modifier Low / Median / High Price $293.95 / $364.19 / $518.86	Professional		$293.95	$364.19	$518.86