Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.78 / $303.91 / $409.12	Facility		$233.78	$303.91	$409.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.78 / $238.46 / $253.36	Professional		$233.78	$238.46	$253.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.86 / $375.78 / $659.04	Facility		$255.86	$375.78	$659.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.07 / $266.08 / $345.41	Professional		$243.07	$266.08	$345.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $455.87 / $650.49	Facility		$238.46	$455.87	$650.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $233.78 / $263.29 / $315.94	Professional		$233.78	$263.29	$315.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $267.70	Professional		$248.39	$248.39	$267.70