Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.21 / $462.21 / $721.05	Facility		$462.21	$462.21	$721.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.21 / $462.21 / $462.21	Professional		$462.21	$462.21	$462.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.13 / $324.13 / $341.19	Facility		$324.13	$324.13	$341.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.13 / $341.19 / $379.51	Professional		$324.13	$341.19	$379.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.07 / $593.07 / $741.34	Professional		$593.07	$593.07	$741.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $462.21 / $462.21 / $849.31	Facility		$462.21	$462.21	$849.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $462.21 / $467.08 / $583.84	Professional		$462.21	$467.08	$583.84
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 Facility Modifier Low / Median / High Price $204.35 / $437.89 / $583.85	Facility		$204.35	$437.89	$583.85
United Facility/Professional Professional Modifier Low / Median / High Price $204.35 / $291.92 / $486.54	Professional		$204.35	$291.92	$486.54