Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.95 / $246.95 / $246.95	Facility		$246.95	$246.95	$246.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.97 / $230.06 / $246.95	Professional		$200.97	$230.06	$246.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.85 / $1,134.77 / $2,177.41	Facility		$579.85	$1,134.77	$2,177.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.14 / $385.50 / $500.40	Professional		$352.14	$385.50	$500.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.99 / $235.56 / $343.05	Professional		$148.99	$235.56	$343.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $246.95 / $261.01 / $261.01	Facility		$246.95	$261.01	$261.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $226.41 / $261.01 / $351.95	Professional		$226.41	$261.01	$351.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.96 / $271.10 / $378.92	Professional		$219.96	$271.10	$378.92