Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.71 / $238.71 / $296.70	Facility		$238.71	$238.71	$296.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.21 / $235.24 / $291.89	Professional		$180.21	$235.24	$291.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.54 / $340.62 / $752.08	Facility		$153.54	$340.62	$752.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.04 / $357.65 / $425.78	Professional		$320.04	$357.65	$425.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $264.67	Facility		$264.67	$264.67	$264.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.16 / $279.95 / $727.20	Professional		$205.16	$279.95	$727.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $228.60 / $281.62 / $296.70	Facility		$228.60	$281.62	$296.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $214.27 / $281.62 / $346.81	Professional		$214.27	$281.62	$346.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.82 / $238.53 / $343.86	Professional		$189.82	$238.53	$343.86
United Facility/Professional Professional Modifier Low / Median / High Price $223.19 / $275.36 / $354.47	Professional		$223.19	$275.36	$354.47