Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.66 / $252.66 / $252.66	Facility		$252.66	$252.66	$252.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $252.66 / $267.38	Professional		$245.30	$252.66	$267.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $749.13 / $1,493.20	Facility		$485.00	$749.13	$1,493.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $76.65 / $99.50	Professional		$70.02	$76.65	$99.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $312.41	Professional		$245.30	$245.30	$312.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $252.66 / $337.48	Facility		$245.30	$252.66	$337.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $294.36	Professional		$245.30	$245.30	$294.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $278.15 / $435.36	Professional		$241.87	$278.15	$435.36
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $260.26	Professional		$245.30	$245.30	$260.26