Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.33 / $298.33 / $745.85	Facility		$298.33	$298.33	$745.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.47 / $298.33 / $298.33	Professional		$254.47	$298.33	$298.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.28 / $457.62 / $813.77	Facility		$332.28	$457.62	$813.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.85 / $307.20 / $368.65	Professional		$291.85	$307.20	$368.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $575.28	Professional		$358.29	$358.29	$575.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $298.33 / $676.80 / $676.80	Facility		$298.33	$676.80	$676.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $298.33 / $676.80 / $812.16	Professional		$298.33	$676.80	$812.16
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 $676.80 / $676.80 / $718.08	Professional		$676.80	$676.80	$718.08