Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.14 / $180.84 / $290.86	Facility		$174.14	$180.84	$290.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $195.03 / $290.86	Professional		$135.41	$195.03	$290.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.88 / $235.44 / $536.32	Facility		$164.88	$235.44	$536.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $200.12 / $363.37	Professional		$35.81	$200.12	$363.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $218.45 / $393.20	Professional		$134.38	$218.45	$393.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $174.14 / $218.61 / $280.08	Facility		$174.14	$218.61	$280.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $236.42 / $363.28	Professional		$180.84	$236.42	$363.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $236.99 / $335.79	Professional		$190.53	$236.99	$335.79
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.20 / $245.92 / $351.96	Professional		$170.20	$245.92	$351.96