Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.68 / $257.68 / $750.00	Facility		$257.68	$257.68	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $257.68 / $475.00	Professional		$207.47	$257.68	$475.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $271.33 / $471.59	Facility		$190.78	$271.33	$471.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $229.92 / $335.11	Professional		$130.97	$229.92	$335.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.17 / $228.17 / $228.17	Facility		$228.17	$228.17	$228.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.90 / $300.29 / $546.59	Professional		$200.90	$300.29	$546.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $144.15 / $173.67 / $750.00	Facility		$144.15	$173.67	$750.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $173.67 / $205.77 / $334.18	Professional		$173.67	$205.77	$334.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $114.16 / $222.73	Professional		$83.33	$114.16	$222.73
United Facility/Professional Professional Modifier Low / Median / High Price $202.62 / $233.76 / $351.56	Professional		$202.62	$233.76	$351.56