Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $317.94 / $985.92	Facility		$316.00	$317.94	$985.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $317.94 / $371.23	Professional		$308.68	$317.94	$371.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.59 / $673.25 / $1,282.84	Facility		$358.59	$673.25	$1,282.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $314.50 / $314.50	Professional		$298.77	$314.50	$314.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.57 / $308.68 / $308.68	Professional		$250.57	$308.68	$308.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $379.20 / $879.27	Facility		$308.68	$379.20	$879.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $316.00 / $370.41	Professional		$308.68	$316.00	$370.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.03 / $352.82 / $354.98	Professional		$338.03	$352.82	$354.98
United Facility/Professional Professional Modifier Low / Median / High Price $293.94 / $308.68 / $314.88	Professional		$293.94	$308.68	$314.88