Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.22 / $286.22 / $297.22	Facility		$286.22	$286.22	$297.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.75 / $286.22 / $349.07	Professional		$182.75	$286.22	$349.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,060.77 / $1,238.24 / $1,686.83	Facility		$1,060.77	$1,238.24	$1,686.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $246.88 / $427.92	Professional		$58.20	$246.88	$427.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $266.63 / $420.47	Professional		$191.91	$266.63	$420.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $239.71 / $239.71 / $286.22	Facility		$239.71	$239.71	$286.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $239.71 / $256.92 / $367.49	Professional		$239.71	$256.92	$367.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $208.32 / $303.36	Professional		$162.87	$208.32	$303.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $279.02 / $383.17	Professional		$247.80	$279.02	$383.17