Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.39 / $584.27 / $1,107.91	Facility		$293.39	$584.27	$1,107.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $293.39 / $337.88	Professional		$264.64	$293.39	$337.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.17 / $719.03 / $1,389.22	Facility		$371.17	$719.03	$1,389.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $251.13 / $298.95	Professional		$227.21	$251.13	$298.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $275.47 / $695.69 / $1,113.06	Facility		$275.47	$695.69	$1,113.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $275.47 / $293.39 / $365.41	Professional		$275.47	$293.39	$365.41
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 $242.40 / $242.40 / $242.40	Professional		$242.40	$242.40	$242.40