Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.97 / $327.56 / $467.94	Facility		$233.97	$327.56	$467.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $233.97 / $271.39	Professional		$148.15	$233.97	$271.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $876.62 / $876.62 / $876.62	Facility		$876.62	$876.62	$876.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $832.79 / $920.45 / $1,095.78	Professional		$832.79	$920.45	$1,095.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $233.97 / $552.75 / $729.99	Facility		$233.97	$552.75	$729.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.64 / $233.97 / $300.62	Professional		$164.64	$233.97	$300.62
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 $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.81 / $339.05 / $467.50	Professional		$263.81	$339.05	$467.50