Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.74 / $341.56 / $510.18	Facility		$262.74	$341.56	$510.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $258.64 / $281.70	Professional		$256.08	$258.64	$281.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.49 / $558.53 / $1,064.25	Facility		$297.49	$558.53	$1,064.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.86 / $271.35 / $352.23	Professional		$247.86	$271.35	$352.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $301.99	Professional		$256.08	$256.08	$301.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $459.80 / $731.07	Facility		$256.08	$459.80	$731.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $262.74 / $320.11	Professional		$256.08	$262.74	$320.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.02 / $273.92 / $373.53	Professional		$249.02	$273.92	$373.53
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $285.08 / $317.58	Professional		$256.08	$285.08	$317.58