Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $272.08 / $848.89	Facility		$272.08	$272.08	$848.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $282.27 / $409.30	Professional		$272.08	$282.27	$409.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $101.83 / $162.93	Facility		$75.47	$101.83	$162.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $75.47 / $75.47	Professional		$71.70	$75.47	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $289.08 / $289.08	Professional		$138.43	$289.08	$289.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $315.55 / $757.06	Facility		$87.45	$315.55	$757.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $315.55 / $378.66	Professional		$272.08	$315.55	$378.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.26 / $179.26 / $179.26	Professional		$179.26	$179.26	$179.26
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $369.01	Professional		$283.42	$283.42	$369.01