Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.50 / $174.93 / $504.04	Facility		$64.50	$174.93	$504.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $76.59 / $134.78	Professional		$51.42	$76.59	$134.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.74 / $360.51 / $831.35	Facility		$263.74	$360.51	$831.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $58.51 / $113.62	Professional		$15.99	$58.51	$113.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $85.03 / $233.08	Professional		$54.06	$85.03	$233.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $195.20 / $2,002.32	Facility		$65.66	$195.20	$2,002.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $81.26 / $129.47	Professional		$64.50	$81.26	$129.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.32 / $141.24	Professional		$81.79	$101.32	$141.24
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.33 / $92.39 / $121.38	Professional		$76.33	$92.39	$121.38