Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.42 / $438.42 / $750.00	Facility		$438.42	$438.42	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $438.42 / $638.00	Professional		$250.00	$438.42	$638.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.97 / $873.81 / $1,666.24	Facility		$465.97	$873.81	$1,666.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $548.91 / $1,056.08	Professional		$318.73	$548.91	$1,056.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.70 / $393.70 / $393.70	Facility		$393.70	$393.70	$393.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.34 / $607.42 / $992.14	Professional		$369.34	$607.42	$992.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $332.19 / $407.54 / $750.00	Facility		$332.19	$407.54	$750.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $355.94 / $437.09 / $642.12	Professional		$355.94	$437.09	$642.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $228.01 / $367.91	Professional		$93.24	$228.01	$367.91
United Facility/Professional Facility Modifier Low / Median / High Price $308.11 / $308.11 / $308.11	Facility		$308.11	$308.11	$308.11
United Facility/Professional Professional Modifier Low / Median / High Price $387.87 / $482.84 / $736.28	Professional		$387.87	$482.84	$736.28