Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.01 / $568.01 / $886.10	Facility		$568.01	$568.01	$886.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.21 / $568.01 / $568.01	Professional		$511.21	$568.01	$568.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.32 / $398.32 / $419.28	Facility		$398.32	$398.32	$419.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.32 / $419.28 / $466.37	Professional		$398.32	$419.28	$466.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.78 / $728.53 / $1,345.30	Professional		$349.78	$728.53	$1,345.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $562.51 / $568.01 / $1,043.72	Facility		$562.51	$568.01	$1,043.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $562.51 / $568.01 / $717.49	Professional		$562.51	$568.01	$717.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $251.12 / $538.12 / $717.49	Facility		$251.12	$538.12	$717.49
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $358.75 / $597.91	Professional		$251.12	$358.75	$597.91