Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.12 / $355.12 / $750.00	Facility		$355.12	$355.12	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.05 / $355.12 / $1,187.33	Professional		$253.05	$355.12	$1,187.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.72 / $888.72 / $888.72	Facility		$888.72	$888.72	$888.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.35 / $933.16 / $1,199.77	Professional		$725.35	$933.16	$1,199.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.80 / $419.80 / $419.80	Facility		$419.80	$419.80	$419.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $772.33 / $1,755.54	Professional		$772.33	$772.33	$1,755.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $355.12 / $355.12 / $865.99	Facility		$355.12	$355.12	$865.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $355.12 / $355.12 / $1,196.61	Professional		$355.12	$355.12	$1,196.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $230.13 / $230.13	Facility		$230.13	$230.13	$230.13
United Facility/Professional Professional Modifier Low / Median / High Price $348.34 / $418.16 / $624.29	Professional		$348.34	$418.16	$624.29