Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.97 / $412.43 / $433.05	Facility		$274.97	$412.43	$433.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.86 / $412.43 / $412.43	Professional		$280.86	$412.43	$412.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.02 / $577.33 / $1,115.45	Facility		$298.02	$577.33	$1,115.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $201.64 / $240.05	Professional		$182.44	$201.64	$240.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.21 / $210.21 / $210.21	Professional		$210.21	$210.21	$210.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.25 / $192.11 / $433.05	Facility		$162.25	$192.11	$433.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $162.25 / $188.21 / $412.43	Professional		$162.25	$188.21	$412.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $128.47 / $174.73	Professional		$128.47	$128.47	$174.73