Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.54 / $265.89 / $265.89	Facility		$204.54	$265.89	$265.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $192.80 / $237.75	Professional		$150.41	$192.80	$237.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $558.77 / $1,057.04	Facility		$299.44	$558.77	$1,057.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $250.98 / $298.79	Professional		$217.30	$250.98	$298.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.05 / $220.61 / $484.69	Professional		$144.05	$220.61	$484.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $176.01 / $176.01 / $265.89	Facility		$176.01	$176.01	$265.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $176.01 / $241.90	Professional		$158.27	$176.01	$241.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.61 / $167.71 / $245.58	Professional		$132.61	$167.71	$245.58
United Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $195.66 / $241.60	Professional		$165.65	$195.66	$241.60