Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.35 / $722.35 / $729.43	Facility		$722.35	$722.35	$729.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $707.24 / $777.99	Professional		$83.39	$707.24	$777.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.44 / $184.44 / $184.44	Facility		$184.44	$184.44	$184.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.22 / $195.51 / $248.99	Professional		$175.22	$195.51	$248.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.87 / $630.72 / $630.72	Professional		$211.87	$630.72	$630.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $215.79 / $215.79 / $722.35	Facility		$215.79	$215.79	$722.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $215.61 / $236.15 / $729.43	Professional		$215.61	$236.15	$729.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $84.03 / $725.44	Professional		$57.81	$84.03	$725.44