Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.48 / $245.48 / $634.00	Facility		$245.48	$245.48	$634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $245.48 / $245.48	Professional		$159.40	$245.48	$245.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.61 / $724.93 / $1,400.63	Facility		$364.61	$724.93	$1,400.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $257.89 / $257.89	Professional		$245.00	$257.89	$257.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $139.25 / $160.72	Professional		$119.00	$139.25	$160.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $200.78 / $200.78 / $245.48	Facility		$200.78	$200.78	$245.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $225.83 / $302.23	Professional		$200.78	$225.83	$302.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $160.13 / $160.13	Professional		$160.13	$160.13	$160.13
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $199.13 / $278.77	Professional		$128.66	$199.13	$278.77