Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.99 / $239.28 / $345.32	Facility		$206.99	$239.28	$345.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $178.54 / $206.99	Professional		$115.34	$178.54	$206.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.08 / $871.02 / $1,710.33	Facility		$411.08	$871.02	$1,710.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.60 / $305.72 / $363.95	Professional		$276.60	$305.72	$363.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $301.01 / $768.17	Professional		$151.09	$301.01	$768.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $206.99 / $239.28	Facility		$72.00	$206.99	$239.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $141.91 / $206.99	Professional		$72.00	$141.91	$206.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $92.64 / $126.33	Professional		$84.22	$92.64	$126.33
United Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $155.10 / $305.97	Professional		$118.02	$155.10	$305.97