Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.73 / $192.73 / $192.73	Facility		$192.73	$192.73	$192.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $192.73 / $389.35	Professional		$116.41	$192.73	$389.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $268.16 / $466.07	Facility		$188.55	$268.16	$466.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $227.23 / $283.76	Professional		$89.64	$227.23	$283.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.75 / $192.75 / $192.75	Facility		$192.75	$192.75	$192.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $280.27 / $606.86	Professional		$141.22	$280.27	$606.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $121.04 / $188.76 / $192.73	Facility		$121.04	$188.76	$192.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $192.73 / $321.00	Professional		$167.82	$192.73	$321.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $116.67 / $192.46	Professional		$35.58	$116.67	$192.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,294.38 / $5,259.42 / $8,859.82	Facility		$2,294.38	$5,259.42	$8,859.82
United Facility/Professional Professional Modifier Low / Median / High Price $170.40 / $231.95 / $479.22	Professional		$170.40	$231.95	$479.22